Provider Demographics
NPI:1497580401
Name:ANGEL NEMT LLC
Entity type:Organization
Organization Name:ANGEL NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:SOLER ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-803-7308
Mailing Address - Street 1:17325 NW 27TH AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-4012
Mailing Address - Country:US
Mailing Address - Phone:786-803-7308
Mailing Address - Fax:786-822-7271
Practice Address - Street 1:17325 NW 27TH AVE STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-4012
Practice Address - Country:US
Practice Address - Phone:786-803-7308
Practice Address - Fax:786-822-7271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)