Penate, Angel Luis

Penate, Angel Luis is an sole proprietor health care provider with primary practice located at 5525 Sw 3Rd St , Coral Gables FL 33134-1021. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Penate, Angel Luis can be contacted via phone (786) 312-5335.

Contact Information

Primary practice address
5525 Sw 3Rd St Coral Gables FL 33134-1021
Phone: (786) 312-5335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-44598 Florida

Profile Details

NPI number 1801307699
LBN Legal business name Penate, Angel Luis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2017
Last updated Sep 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801307699 NPPES
Florida MEDICAID 020424100

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