MEDICARE: MR. ANGEL O VENTO MD

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	207RG0100X	Gastroenterology Physician	ME39937	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417985490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANGEL O VENTO MD

Provider Business Mailing Address
First Line	:	PO BOX 440247
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144
Country	:	US
Telephone Number	:	305-642-2020
Fax Number	:	305-643-4551

Provider Business Practice Location Address
First Line	:	4100 NW 9TH STREET
Second Line	:	SUITE 200
City	:	MIAMI
State	:	FL
Zip	:	33126
Country	:	US
Telephone Number	:	305-642-2020
Fax Number	:	305-643-4551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	05/03/2013

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Directions to “ MR. ANGEL O VENTO MD” Practice Location

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