Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andy Angulo Ontiveros

Individual provider Dental Hygienist · NPI 1477434314

Andy Angulo Ontiveros is a Dental Hygienist in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

537 NW Lake Whitney Pl Ste 101
Port Saint Lucie, FL 34986-1620
Phone: (772) 462-3800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH32189 (FL)

Record details

NPI number1477434314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address5150 Nw Milner Dr, Port Saint Lucie, FL 34983-3392

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