NPIMap

Organization Active NPI

Rescatadores de Angeles, LLC.

  • Community/Behavioral Health Agency
  • Pembroke Pines, FL
National Provider Identifier
1891206595
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESCATADORES DE ANGELES, LLC.
Practice address
1881 NW 123Rd Ave
Pembroke Pines, FL 33026-3825
Phone
(786) 487-1610
Fax
(786) 800-2866
NPI assigned
Oct 20, 2017
Last updated
Feb 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Ms. Virginia Rodriguez, CEONPI 1861999674
Title
Owner
Phone
(786) 487-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1881 NW 123Rd Ave
Pembroke Pines, FL 33026-3825

Mailing address

1881 NW 123Rd Ave
Pembroke Pines, FL 33026-3825
Phone (786) 487-1610

Other identifiers 1

IdentifierTypeStateIssuer
022500800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1000 W Pembroke Rd
Ste 103
Hallandale Beach, FL 33009
Phone (786) 487-1610

1881 NW 123rd Ave
Pembroke Pines, FL 33026
Phone (954) 589-5697

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1891206595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263825",
            "telephone_number": "786-487-1610",
            "fax_number": "786-800-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263825",
            "telephone_number": "786-487-1610",
            "fax_number": "786-800-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCATADORES DE ANGELES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-487-1610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022500800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.