Individual provider Active NPI

Angel Gaspar Obregon

  • Physician Assistant
  • Hialeah, FL
National Provider Identifier
1841007622
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA115 Issued in FL
Practice address
574 E 50TH St
Hialeah, FL 33013-1620
Phone
(786) 320-3370
NPI assigned
Dec 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA115 FL Primary

Addresses

Primary practice location

574 E 50TH St
Hialeah, FL 33013-1620

Mailing address

574 E 50TH St
Hialeah, FL 33013-1620
Phone (786) 320-3370

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
PA115FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1841007622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 E 50TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131620",
            "telephone_number": "786-320-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 E 50TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131620",
            "telephone_number": "786-320-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "ANGEL",
        "middle_name": "GASPAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-14",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.