MEDICARE: ANGEL NEMT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1497580401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL NEMT LLC

Provider Business Mailing Address
First Line	:	17325 NW 27TH AVE STE 207
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4012
Country	:	US
Telephone Number	:	786-803-7308
Fax Number	:	786-822-7271

Provider Business Practice Location Address
First Line	:	17325 NW 27TH AVE STE 207
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4012
Country	:	US
Telephone Number	:	786-803-7308
Fax Number	:	786-822-7271

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE FELIX SOLER ACOSTA
Credential	:
Telephone Number	:	786-803-7308

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

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Directions to “ANGEL NEMT LLC ” Practice Location

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