Individual provider Active NPI

Angel Espina, AGNP

  • Adult Health Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1740815588
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11006557 Issued in FL
Practice address
11077 Biscayne Blvd Ste 304
North Miami, FL 33161-7498
Phone
(786) 409-7104
Fax
(786) 334-5403
NPI assigned
Mar 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11006557 FL
Adult Health Nurse Practitioner 363LA2200X APRN11006557 FL Primary

Addresses

Primary practice location

11077 Biscayne Blvd Ste 304
North Miami, FL 33161-7498

Mailing address

3378 W 80TH St Unit 101
Hialeah Gardens, FL 33018-7545
Phone (786) 359-9131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11006557FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Star Home Health LLC CurrentSince Mar 22, 2020 Accepting new patients
Miami Home Health Solutions LLC PastSince Mar 22, 2020 Accepting new patients

Locations

11077 Biscayne Blvd
Ste 304
North Miami, FL 33161
Phone (786) 409-7104

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1740815588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 W 80TH ST UNIT 101",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330187545",
            "telephone_number": "786-359-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11077 BISCAYNE BLVD STE 304",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331617498",
            "telephone_number": "786-409-7104",
            "fax_number": "786-334-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINA",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11006557",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11006557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.