Active NPI
Rosario Luisa Martinez-Angel, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1851398572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME86777
- Practice address
- 5449 S Semoran Blvd
Suite 14
Orlando, FL 32822-1722 - Phone
- (407) 322-8645
- Fax
- (407) 322-8725
- NPI assigned
- Jul 7, 2005
- Last updated
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME86777 | FL | Primary |
Addresses
Primary practice location
5449 S Semoran Blvd
Suite 14
Orlando, FL 32822-1722
Mailing address
4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone (407) 322-8645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266688000 | Medicaid | FL |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101217000264 | FL | Practitioner - Pediatric Medicine | 1557559580 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Family Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1649241704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1851398572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 E LAKE MARY BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327715003",
"telephone_number": "407-322-8645",
"fax_number": "407-322-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5449 S SEMORAN BLVD",
"address_2": "SUITE 14",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328221722",
"telephone_number": "407-322-8645",
"fax_number": "407-322-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-ANGEL",
"first_name": "ROSARIO",
"middle_name": "LUISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME86777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266688000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.