Individual provider Active NPI

Mariela Manzanares Angulo

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1689246191
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014052 Issued in FL
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

Updated by the provider on Aug 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818004273 FL Practitioner - Nurse Practitioner 6800291543 Reassigns benefits to 1 organization

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
Access Medical Centers LLCGroup PAC ID 4284040734, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Access Medical Centers LLC CurrentSince May 11, 2025 Accepting new patients
Access Medical Centers LLC CurrentSince Mar 1, 2022 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.

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

Verify at the official NPI Registry.