Angel Ernesto Rico MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME98769 Issued in FL

Legal business name

ANGEL ERNESTO RICO MD PA

Practice address

15495 Eagle Nest LN
Suite # 225
Miami Lakes, FL 33014-2266

Phone

(305) 828-3214

Fax

(305) 828-3216

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angel Ernesto Rico, MD PANPI 1417166091

Title

President

Phone

(305) 828-3214

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Angel Ernesto Rico MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Angel Ernesto Rico MD PA

  dba Angel E. Rico

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1346936440
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Angel Ernesto Rico MD PA

  dba Angel E. Rico

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1346936440
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel Ernesto Rico, MD

  • General Practice Physician
  • Miami Lakes, FL
  • NPI 1417166091
  Medicare reassignment NPD Authorized official
• Ronald Ward Megret, APRN

  • Nurse Practitioner
  • Miami Lakes, FL
  • NPI 1578136008

  Clinic/Center

  NPD

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1740557800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN",
            "address_2": "SUITE # 225",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142266",
            "telephone_number": "305-828-3214",
            "fax_number": "305-828-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN",
            "address_2": "SUITE # 225",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142266",
            "telephone_number": "305-828-3214",
            "fax_number": "305-828-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL ERNESTO RICO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-828-3214",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1417166091",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278704100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME98769",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana V. Hernandez, O.D., P.a.
• Anchor Plus Wellness Center, LLC
• Alex Andarcio
• Ashley Anderson
• Andy Medical Supply Inc
• Angel R Casademont M D P a
• Angelito Mental Health Corp.
• Angels Diagnostic Group Inc (Angels Wellness Center of Miami Lakes)
• Angels Health Care Inc
• Angels Medical Service Inc.

• Family Medicine Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.