Active NPI
Jesus N Rodriguez Angulo, MD
- Pediatrics Physician
- Homestead, FL
National Provider Identifier
1912930744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME50088
- Practice address
- 45 NW 8TH St Ste 110
Homestead, FL 33030-4452 - Phone
- (305) 248-1900
- Fax
- (305) 248-1902
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | ME50088 | FL | |
| Pediatrics Physician | 208000000X | ME50088 | FL | Primary |
Addresses
Primary practice location
45 NW 8TH St Ste 110
Homestead, FL 33030-4452
Mailing address
10980 SW 25TH St
Miami, FL 33165
Phone (305) 310-1648
Other practice location 1
240 Crandon Blvd Ste 212
Key Biscayne, FL 33149-1597
Phone (305) 361-6232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047411800 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50088 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Miami Criticare Inc. | Current | Accepting new patients | |
| Ramon a Guevara D.O.,P.a. | Pediatrics | Past | Accepting new patients |
| Ramon a Guevara D.O.,P.a. | Past | Accepting new patients |
Locations
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- South Miami, FL
- NPI 1306878210
-
- Family Medicine Physician
- Miami, FL
- NPI 1821743048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731715200000",
"number": "1912930744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10980 SW 25TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165",
"telephone_number": "305-310-1648",
"fax_number": "304-220-6776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NW 8TH ST STE 110",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304452",
"telephone_number": "305-248-1900",
"fax_number": "305-248-1902"
}
],
"practiceLocations": [
{
"address_1": "240 Crandon Blvd Ste 212",
"address_purpose": "LOCATION",
"city": "Key Biscayne",
"state": "FL",
"postal_code": "331491597",
"country_code": "US",
"telephone_number": "305-361-6232",
"fax_number": "305-365-0031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ ANGULO",
"first_name": "JESUS",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2024-11-16",
"certification_date": "2024-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME50088",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME50088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047411800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.