DR. ANGEL ERNESTO RICO MD
NPI 1417166091
General Practice in Miami Lakes, FL

Q: What is Angel Rico's NPI number?

The NPI number for Angel Rico is 1417166091. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Angel Rico's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angel Rico was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 21, 2007PECOS EnrolledCLIA 10D2028746 · Waiver

15495 EAGLE NEST LN, SUITE 225, MIAMI LAKES, FL 33014(305) 828-3214(305) 828-3216 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Angel Ernesto Rico Md NPPES

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

DR. ANGEL ERNESTO RICO MD (NPI 1417166091) is an individual general practice provider in Miami Lakes, Florida, licensed in Florida (ME 98769) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 22, 2027, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1417166091

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. ANGEL ERNESTO RICOCredential: MD

Location Address15495 EAGLE NEST LN, SUITE 225Miami Lakes, FL 33014-2266

Mailing Address15495 Eagle Nest Ln, Suite 225Miami Lakes, FL 33014-2266 · (305) 828-3214 · Fax (305) 828-3216

Phone(305) 828-3214

Fax(305) 828-3216

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 12, 2023

NPPES CertifiedJuly 12, 2023

✔ NPI 1417166091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME 98769

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

15495 EAGLE NEST LN, Miami Lakes, FL 33014

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Other Identifiers 1

Medicaid278704100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3072601624

PECOS Enrollment IDI20071114000422

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 10D2028746

Angel E Rico MD PA · Miami Lakes, FL

Active · expires Aug 22, 2027

CLIA Number10D2028746

Laboratory TypePhysician Office

Certificate Effective DateAugust 23, 2025

Certificate Expiration DateAugust 22, 2027

Laboratory DirectorAngel Rico

Laboratory Phone(305) 828-3214

Laboratory LocationAngel E Rico MD PA15495 Eagle Nest Ln Ste 225, Miami Lakes, FL 33014

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services23 patients

Other Providers at the Same Location NPPES 7

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

FIRST MEDICAL CENTER, INC,

Specialist

15495 EAGLE NEST LN, SUITE 230
MIAMI LAKES, FL 33014

Miami-Dade County (305) 821-2182

DR. PETER B SOBEL DDS

Dentist (Pediatric Dentistry)

15495 EAGLE NEST LN, ST .110
MIAMI LAKES, FL 33014

Miami-Dade County (305) 698-7566

TENDER LOVING CARE HEALTH CARE SERVICES OF DADE, LLC

Home Health

15495 EAGLE NEST LN, STE 260
MIAMI LAKES, FL 33014

Miami-Dade County (305) 365-2050

DR. FERNANDO ALBERTO BOLUFER M.D.

Internal Medicine

15495 EAGLE NEST LN
MIAMI LAKES, FL 33014

Miami-Dade County (305) 556-0021

ANGEL ERNESTO RICO MD PA

Family Medicine

15495 EAGLE NEST LN, SUITE # 225
MIAMI LAKES, FL 33014

Miami-Dade County (305) 828-3214

MARIBEL MORFI CASO MSN /FNP/ARNP

Nurse Practitioner (Family)

15495 EAGLE NEST LN
MIAMI LAKES, FL 33014

Miami-Dade County (305) 556-0021

AMBERT MEDICAL CARE CENTER CORP

Family Medicine

15495 EAGLE NEST LN, SUITE 100
MIAMI LAKES, FL 33014

Miami-Dade County (305) 556-0071

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 Rico's NPI number?

The NPI number for Angel Rico is 1417166091. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Angel Rico located?

Angel Rico practices at 15495 Eagle Nest Ln Suite 225, Miami Lakes, FL 33014. The listed phone number is (305) 828-3214.

What is Angel Rico's specialty?

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

Is Angel Rico enrolled in Medicare?

Yes. Angel Rico is registered in the Medicare PECOS enrollment system.

Does Angel Rico hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2028746) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Angel Rico accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Angel Rico as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angel Rico was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.