| Angel Urgent Care Corp | |
|
7000 Nw 52nd St Miami FL 33166-4845 | |
| (305) 418-0847 | |
| Not Available |
| Full Name | Angel Urgent Care Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 7000 Nw 52nd St, Miami, Florida |
| Authorized Official Name and Position | Lisbelle Emma Revoredo (DIRECTOR) |
| Authorized Official Contact | 3054180847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Urgent Care Corp 7000 Nw 52nd St Miami FL 33166-4845 Ph: (305) 418-0847 | Angel Urgent Care Corp 7000 Nw 52nd St Miami FL 33166-4845 Ph: (305) 418-0847 |
| NPI Number | 1679378723 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 12/04/2025 |
| Certification Date | 12/04/2025 |
| Medicare PECOS PAC ID | 4183120751 |
|---|---|
| Medicare Enrollment ID | O20251002000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679378723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (NU) | Secondary |
| Provider Name | Eduardo Viera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144273426 PECOS PAC ID: 3870566193 Enrollment ID: I20040816000773 |
| Provider Name | Ingrid H Cervera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275149338 PECOS PAC ID: 2365862679 Enrollment ID: I20201026000523 |
| Provider Name | Luis S Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942881610 PECOS PAC ID: 7315348406 Enrollment ID: I20210902002030 |
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