Esperanza San Miguel Angeles, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

118229 Issued in NY

Practice address

556 49TH Ave
Long Island City, NY 11101-5611

Phone

(718) 784-4178

Fax

(718) 784-4757

NPI assigned

Jul 13, 2006

Last updated

Jan 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388793600000",
    "number": "1689699530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 49TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015611",
            "telephone_number": "718-784-4178",
            "fax_number": "718-784-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 49TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015611",
            "telephone_number": "718-784-4178",
            "fax_number": "718-784-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "ESPERANZA",
        "middle_name": "SAN MIGUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "118229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.