Individual provider Active NPI

Rodrigo Angel

  • Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1740262146
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11014730 Issued in FL
Practice address
440 N State Road 7 Ste 103
Royal Palm Beach, FL 33411-3504
Phone
(561) 798-6600
Fax
(561) 615-1958
NPI assigned
Nov 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X
Family Nurse Practitioner 363LF0000X APRN11014730 FL
Nurse Practitioner 363L00000X APRN11014730 FL Primary

Addresses

Primary practice location

440 N State Road 7 Ste 103
Royal Palm Beach, FL 33411-3504

Mailing address

10131 W. Forest Hill Blvd
Ste 230
West Palm Beach, FL 33414
Phone (561) 798-6600

Other practice location 1

582 NW University Blvd Ste 100
Port St Lucie, FL 34986-2264
Phone (561) 798-6600

Other practice location 2

875 Military Trl Ste 105
Jupiter, FL 33458-5700
Phone (561) 798-6600

Other identifiers 1

IdentifierTypeStateIssuer
APRN11014730OtherFLFLORIDA STATE LICENSE

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
I20210914003161 FL Practitioner - Nurse Practitioner 0143626259 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

Practice addresses (Care Compare)

190 Congress Park Dr
Suite 160
Delray Beach, FL 33445-4707
Phone (561) 798-6600

Hospital & facility affiliations

  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Aug 30, 2021 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Aug 30, 2021 Accepting new patients
Center for Bone and Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients

Locations

190 Congress Park Dr
Ste 160
Delray Beach, FL 33445
Phone (561) 306-5383

875 Military Trl
Ste 105
Jupiter, FL 33458
Phone (561) 768-0050

582 NW University Blvd
Ste 100
Port St Lucie, FL 34986
Phone (561) 836-7248

440 N State Road 7
Ste 103
Royal Palm Beach, FL 33411

440 N State Road 7
Ste 107
Royal Palm Beach, FL 33411
Phone (561) 795-8655

440 N State Road 7
Ste C
Royal Palm Beach, FL 33411

440 N State Road 7
Ste B
Royal Palm Beach, FL 33411

440 N State Road 7
Ste E
Royal Palm Beach, FL 33411

10111 Forest Hill Blvd
Rm 171
Wellington, FL 33414

10131 Forest Hill Blvd
Ste 230
West Palm Beach, FL 33414

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rodrigo.angel.1@22724.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1740262146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 W. FOREST HILL BLVD",
            "address_2": "STE 230",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-798-6600",
            "fax_number": "561-204-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N STATE ROAD 7 STE 103",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113504",
            "telephone_number": "561-798-6600",
            "fax_number": "561-615-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 NW University Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349862264",
            "country_code": "US",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Military Trl Ste 105",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585700",
            "country_code": "US",
            "telephone_number": "561-798-6600",
            "fax_number": "561-798-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "RODRIGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014730",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "APRN11014730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.