Individual provider · Type 1 NPI

Angie La Concha

Student in an Organized Health Care Education/Training Program · Hialeah, FL

NPI number 1235087362 Active

Practice location

750 E 25th St
Hialeah, FL 33013-3817

Mailing address

17945 SW 97th Ave Apt 416
Palmetto Bay, FL 33157-5452

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDRPM3010 (FL)
General Practice Dentistry 1223G0001X3010 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235087362

Angie La Concha's National Provider Identifier is 1235087362, issued on Mar 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hialeah, FL. The record was last updated on Sep 11, 2026.