Provider Demographics
NPI:1326234048
Name:ANGULO, ARMANDO A JR (OD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:A
Last Name:ANGULO
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5526
Mailing Address - Country:US
Mailing Address - Phone:786-390-1152
Mailing Address - Fax:
Practice Address - Street 1:5663 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1019
Practice Address - Country:US
Practice Address - Phone:786-390-1152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4272152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist