Healthcare Provider Details

I. General information

NPI: 1699633289
Provider Name (Legal Business Name): ANGULO HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3652 SW 91ST AVE
MIAMI FL
33165-4361
US

IV. Provider business mailing address

3652 SW 91ST AVE
MIAMI FL
33165-4361
US

V. Phone/Fax

Practice location:
  • Phone: 786-856-1768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANIA ANGULO
Title or Position: MANAGER
Credential: APRN
Phone: 786-856-1768