Angels Diagnostic Group INC
Clinic/Center, Primary Care in Miami Lakes, FL. Organization (NPI-2).
NPI number1700108412
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1700108412
- Entity type
- Organization (NPI-2)
- Legal business name
- Angels Diagnostic Group INC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2010
- Certification date
- Jun 1, 2026
- Last updated
- Jun 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Angels Diagnostic Group, INC (Former Legal Business Name)
- Angels Wellness Center Of Miami Lakes (Doing Business As)
Practice location
14394 Commerce WayMiami Lakes, FL 33016-1501
Phone 305-593-8355 · Fax 305-593-8369
Mailing address
14394 Commerce WayMiami Lakes, FL 33016-1501
Phone 305-593-8355 · Fax 305-593-8369
Authorized official
Alejandro Santos
Owner
3055938355
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