ANGEL ERNESTO RICO MD PA II
NPI 1295414787
General Practice in Hialeah, FL

Active since July 13, 2023CLIA 10D2281219 · Waiver
1275 W 47TH PL STE 420, HIALEAH, FL 33012(863) 532-0987(786) 353-2249 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 9, 2023, Jul 13, 2023 (2 updates tracked since 2023).

About Angel Ernesto Rico Md Pa Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL ERNESTO RICO MD PA II (NPI 1295414787) is a healthcare organization registered as a general practice in Hialeah, Florida and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Angel Ernesto Rico, President, as its authorized official.

NPPES Registry Identity

NPI1295414787
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameANGEL ERNESTO RICO MD PA II
Location Address1275 W 47TH PL STE 420Hialeah, FL 33012-3452
Mailing Address1275 W 47th Pl Ste 420Hialeah, FL 33012-3452 · (786) 353-2098 · Fax (786) 353-2249
Fax(786) 353-2249
Organization SubpartNo
Authorized OfficialAngel Ernesto RicoPresident · (786) 353-2098
Enumeration DateJuly 13, 2023
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
NPI 1295414787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
1275 W 47TH PL STE 420, Hialeah, FL 33012

Other Identifiers 1

Medicaid278704100FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2281219

Angel Ernesto Rico MD PA · Hialeah, FL
Active · expires May 2, 2027
CLIA Number10D2281219
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorAngel E. Rico
Laboratory Phone(786) 353-2098
Laboratory LocationAngel Ernesto Rico MD PA1275 West 47th Place, Ste 420, Hialeah, FL 33012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1275 W 47TH PL STE 420
HIALEAH, FL 33012
Family Medicine
1275 W 47TH PL STE 420
HIALEAH, FL 33012
Family Medicine
1275 W 47TH PL STE 420
HIALEAH, FL 33012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295414787, enumerated as an "organization" on July 13, 2023.

The provider is located at 1275 W 47TH PL STE 420 HIALEAH, FL 33012 and the phone number is (863) 532-0987.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.