Angela Yumiri Estrella

Primary specialty

DentistTaxonomy code 122300000X

License

24690 Issued in FL

Practice address

4481 Lake Worth Rd
Lake Worth, FL 33461-3929

Phone

(561) 501-2653

NPI assigned

Jun 3, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1699399972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 LAKE WORTH RD UNIT B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613929",
            "telephone_number": "561-331-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613929",
            "telephone_number": "561-501-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4481 Lake Worth Rd # B",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334613929",
            "country_code": "US",
            "telephone_number": "561-501-2653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "ANGELA",
        "middle_name": "YUMIRI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "24690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estomatologia2005@hotmail.com",
            "affiliation": "N",
            "address_1": "4481 Lake Worth Rd # B",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334613929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Woodjany A T Etheart
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• Sophia Etienne-Jean, PMHNP
• Edeline Etienne, NP
• Tammy L Evans

• Dentist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.