MEDICARE: DENIS DANIEL ANGULO ENRIQUEZ

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	367500000X	Certified Registered Nurse Anesthetist	S01194538	FL

General Provider Information

NPI Number	:	1427974112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENIS DANIEL ANGULO ENRIQUEZ

Provider Business Mailing Address
First Line	:	8874 NW 115TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-1932
Country	:	US
Telephone Number	:	786-646-7145
Fax Number	:

Provider Business Practice Location Address
First Line	:	8874 NW 115TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-1932
Country	:	US
Telephone Number	:	786-646-7145
Fax Number	:

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

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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Directions to “ DENIS DANIEL ANGULO ENRIQUEZ ” Practice Location

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