Provider Demographics
NPI:1720005796
Name:ANGELMED INC
Entity Type:Organization
Organization Name:ANGELMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAYKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-242-2273
Mailing Address - Street 1:14055 SW 142ND AVE
Mailing Address - Street 2:SUITE 36
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6757
Mailing Address - Country:US
Mailing Address - Phone:786-242-2273
Mailing Address - Fax:786-242-2275
Practice Address - Street 1:14055 SW 142ND AVE
Practice Address - Street 2:SUITE 36
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6757
Practice Address - Country:US
Practice Address - Phone:786-242-2273
Practice Address - Fax:786-242-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5748410001Medicare ID - Type Unspecified