Provider Demographics
NPI:1356382188
Name:FRIGER, MARANGELI (MD)
Entity type:Individual
Prefix:DR
First Name:MARANGELI
Middle Name:
Last Name:FRIGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARANGELI
Other - Middle Name:
Other - Last Name:FRIGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14233 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6408
Mailing Address - Country:US
Mailing Address - Phone:786-439-3779
Mailing Address - Fax:786-439-3677
Practice Address - Street 1:14233 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6408
Practice Address - Country:US
Practice Address - Phone:786-439-3779
Practice Address - Fax:786-439-3673
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME674922085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308643OtherAVMED
FLP971113OtherOPTIMUM
FL26589OtherBCBS
FLP10601025OtherRR MEDICARE
FL006432200Medicaid
FLP1035319OtherFREEDOM
FL198315OtherWELLCARE
FL8339167OtherCIGNA
FL6107OtherDIMENSION
FLP10601025OtherRR MEDICARE
FL6107OtherDIMENSION
26589XMedicare PIN