GENESIS ELIZABETH ANGULO-JUAN (APRN) – Acute Care Nurse Practitioner, NPI 1033532197

GENESIS ELIZABETH ANGULO-JUAN (APRN) is a healthcare provider. based in Doral, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11034548 (FL). The NPI Number for GENESIS ELIZABETH ANGULO-JUAN (APRN) is 1033532197

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
GENESIS ELIZABETH ANGULO-JUAN (APRN)
NPI
1033532197
Phone
(305) 597-3861
Address
3900 NW 79TH AVE
Enumeration Date
27 January 2014
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543554665
Graduation Year
2024 (2 years ago)
PAC ID
8921524430
Group Practice PAC ID
3577472422
Professional Enrollment ID
I20250428003702
Address ID
FL333162521FO1625XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for GENESIS ELIZABETH ANGULO-JUAN (APRN)

  • 3900 NW 79TH AVE

    SUITE 501

    DORAL, FL 331666556

    Phone: (305) 597-3861

    Fax: (305) 597-3863

    Type: Mailing

  • 1608 SE 3RD AVE FL 3

    FORT LAUDERDALE, FL 333162564

    Phone: (954) 355-4665

    Fax: (954) 355-4881

    Type: Mailing

  • 1625 SE 3RD AVE STE 300

    FORT LAUDERDALE, FL 333162521

    Phone: (954) 355-4665

    Fax: (954) 355-4881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250428003702INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33166)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577472422View full group profile
NameSpecialtyState
-FL
-FL
Orthopedic SurgeryFL
-FL
N E U R O L O G YFL
Critical Care (Intensivists)FL
Internal Medicine, Pediatric MedicineFL
Nurse PractitionerFL
Physician AssistantFL
Hand SurgeryFL

Reviews

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Frequently asked questions

What federal number belongs to GENESIS ELIZABETH ANGULO-JUAN (APRN)?
The federal identifier for GENESIS ELIZABETH ANGULO-JUAN (APRN) is NPI 1033532197.
Is GENESIS ELIZABETH ANGULO-JUAN (APRN) currently active in the NPI registry?
CMS-published data lists GENESIS ELIZABETH ANGULO-JUAN (APRN) as an active registrant.
What kind of provider is GENESIS ELIZABETH ANGULO-JUAN (APRN)?
The page reflects Acute Care Nurse Practitioner for GENESIS ELIZABETH ANGULO-JUAN (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for GENESIS ELIZABETH ANGULO-JUAN (APRN)?
The page summarizes Doral, Florida for GENESIS ELIZABETH ANGULO-JUAN (APRN); expand the address list for detail.
What if Doral, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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