Active NPI
Mariela Manzanares Angulo
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1689246191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11014052
- Practice address
- 801 NW 37TH Ave Ste 207
Miami, FL 33125-3882 - Phone
- (786) 953-7482
- Fax
- (786) 953-7467
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11014052 | FL | Primary |
Addresses
Primary practice location
801 NW 37TH Ave Ste 207
Miami, FL 33125-3882
Mailing address
13100 SW 55TH St
Miami, FL 33175-6220
Phone (786) 803-4533
Other practice location 1
13100 SW 55th St
Miami, FL 33175-6220
Phone (786) 803-4533
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Smartphone | ||
| Other URL | smartphones |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8323 NW 12TH St
Suite 109
Doral, FL 33126-1839
Phone (786) 800-9512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Centers LLC | Current | Accepting new patients | |
| Access Medical Centers LLC | Current | Accepting new patients |
Locations
8323 NW 12th St
Ste 109
Doral, FL 33126
Phone (786) 800-9512
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Doral, FL
- NPI 1386247351
-
- Clinic/Center
- Homestead, FL
- NPI 1932999521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1689246191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 SW 55TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756220",
"telephone_number": "786-803-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NW 37TH AVE STE 207",
"city": "MIAMI",
"state": "FL",
"postal_code": "331253882",
"telephone_number": "786-953-7482",
"fax_number": "786-953-7467"
}
],
"practiceLocations": [
{
"address_1": "13100 SW 55th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331756220",
"country_code": "US",
"telephone_number": "786-803-4533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANZANARES ANGULO",
"first_name": "MARIELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11014052",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Smartphone",
"affiliation": "N",
"address_1": "13100 SW 55th St",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331756220",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "smartphones",
"affiliation": "N",
"address_1": "13100 SW 55th St",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331756220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.