Healthcare Provider Details

I. General information

NPI: 1285563791
Provider Name (Legal Business Name): ANGELTELEMEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 NW 7TH AVE
MIAMI FL
33150-3199
US

IV. Provider business mailing address

7901 NW 7TH AVE
MIAMI FL
33150-3199
US

V. Phone/Fax

Practice location:
  • Phone: 914-426-5620
  • Fax:
Mailing address:
  • Phone: 914-426-5620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: ANGEL MAITA-ZAPATA
Title or Position: OWNER
Credential: PA-C
Phone: 914-426-5620