Provider Demographics
NPI:1558367912
Name:ANGELS OXI PLUS, INC.
Entity Type:Organization
Organization Name:ANGELS OXI PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALDANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-928-8899
Mailing Address - Street 1:PO BOX 574646
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32857-4646
Mailing Address - Country:US
Mailing Address - Phone:787-280-5146
Mailing Address - Fax:787-280-5146
Practice Address - Street 1:CARR 109 KM 24.1
Practice Address - Street 2:SUITE A
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-280-5146
Practice Address - Fax:787-280-5146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR04-P-1654332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1288390001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER