MEDICARE: DR. LILIANA MARGARITA ANGULO DDS

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	1223G0001X	General Practice Dentistry	DN17639	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	:	1841494648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILIANA MARGARITA ANGULO DDS

Provider Business Mailing Address
First Line	:	614 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1964
Country	:	US
Telephone Number	:	786-999-3446
Fax Number	:	305-445-9768

Provider Business Practice Location Address
First Line	:	614 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1964
Country	:	US
Telephone Number	:	786-999-3446
Fax Number	:	305-445-9768

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

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	10/26/2009

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