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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: October 18, 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
Phone(863) 532-0987
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
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Ernesto Rico Md Pa Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Angel Ernesto Rico MD PA II, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mislaidy Lopez
Nurse Practitioner
NPI 1003454455
1275 W 47TH PL STE 420
Hialeah, FL 33012
(786) 353-3295
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Ernesto Rico MD PA II's NPI number?

The NPI number for Angel Ernesto Rico MD PA II is 1295414787. It was assigned to this organization in the NPPES registry on July 13, 2023.

Where is Angel Ernesto Rico MD PA II located?

Angel Ernesto Rico MD PA II is located at 1275 W 47th Pl Ste 420, Hialeah, FL 33012. The listed phone number is (863) 532-0987.

What is Angel Ernesto Rico MD PA II's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Angel Ernesto Rico MD PA II enrolled in Medicare?

Yes. Angel Ernesto Rico MD PA II is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angel Ernesto Rico MD PA II?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Angel Ernesto Rico MD PA II. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Angel Ernesto Rico MD PA II hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2281219) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angel Ernesto Rico MD PA II was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.