Basic Information
Provider Information
NPI: 1508216706
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANGARITA-JONES
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D., MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 451 CLARKSON AVE
Address2: ATTN: DEPARTMENT OF EMERGENCY MEDICINE
City: BROOKLYN
State: NY
PostalCode: 112032054
CountryCode: US
TelephoneNumber: 7863565152
FaxNumber:  
Practice Location
Address1: 1611 NW 12TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331361005
CountryCode: US
TelephoneNumber: 3055851111
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2016
LastUpdateDate: 05/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000X145736FLY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home