Angel Agreda, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN-0011416 Issued in FL

Practice address

2611 SW 147TH Ave
Miami, FL 33185-5621

Phone

(305) 554-8224

NPI assigned

Aug 26, 2006

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Angel Agreda D.D.S. , P.a.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1124119789
  NPD (past) Authorized official

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699883199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 SW 143RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855621",
            "telephone_number": "305-554-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGREDA",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN-0011416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Omprakash Agrawal
• Ankur Agrawal, D.M.D.
• Mavara M Agrawal, MD
• Poonam Agrawal
• Rohan Agrawal
• Samantha Agron
• Marc Edward Agronin, M.D.
• Arletty Aguado Mildestein, RBT-25-422654
• Lorraine Aguado
• Maria Aguado

• All providers in Miami, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.