Organization Active NPI

Angel's Medical Company

  • General Practice Physician
  • Naples, FL
National Provider Identifier
1972819670
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ANGEL'S MEDICAL COMPANY
Practice address
5240 Golden Gate Pkwy
Naples, FL 34116-7670
Phone
(239) 234-6835
Fax
(239) 331-2362
NPI assigned
Aug 19, 2010
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Israel Iglesias
Title
Owner
Phone
(239) 234-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

5240 Golden Gate Pkwy
Naples, FL 34116-7670

Mailing address

5038 Coronado Pkwy
Naples, FL 34116-6950
Phone (239) 234-6835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120921000414 FL Part B Supplier - Clinic/Group Practice 6103074877 Receives reassigned benefits from 9 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory
Tax ID family
Angels Medical Company3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1972819670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 CORONADO PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166950",
            "telephone_number": "239-234-6835",
            "fax_number": "239-331-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167670",
            "telephone_number": "239-234-6835",
            "fax_number": "239-331-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S MEDICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-234-6835"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.