Healthcare Provider Details

I. General information

NPI: 1700512365
Provider Name (Legal Business Name): ANGEL TOUCH NURSE REGISTERED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13155 SW 134TH ST STE 222
MIAMI FL
33186-4489
US

IV. Provider business mailing address

13155 SW 134TH ST SUITE 222, 119
MIAMI FL
33186-4489
US

V. Phone/Fax

Practice location:
  • Phone: 305-934-2772
  • Fax: 786-478-6268
Mailing address:
  • Phone: 305-281-8339
  • Fax: 305-847-2812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA ELENA AMORES POMARES
Title or Position: MANAGER
Credential:
Phone: 305-281-8339