Active NPIOrganization

Angel Lake, MD

Internal Medicine in Christiansted, U.S. Virgin Islands

NPI Number1063237360
Practice location
4007 Estate Diamond Ruby, Christiansted, VI 00820-4435
Fax
210-682-9509
Last updated
February 13, 2025

Angel Lake, MD is a healthcare organization based in Christiansted, VI. Angel Lake, MD practices in Christiansted, VI. The NPI Number for Angel Lake, MD is 1063237360. The current practice location address for Angel Lake, MD is 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 and can be reached out via phone at 340-332-3665 and via fax at 210-682-9509.

Provider Profile Details

NPI Number
1063237360
Provider Name
Angel Lake, MD
Provider Entity Type
Organization
Address
4007 Estate Diamond Ruby, Christiansted, VI 00820-4435
Phone Number
340-332-3665
Fax Number
210-682-9509
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Angel Lake, MD · Physician/Owner · 340-332-3665
Provider Enumeration Date
November 20, 2024
Last Update Date
February 13, 2025
Certification Date
February 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Zip
00820-4435
Phone Number
340-332-3665
Fax Number
210-682-9509
Christiansted, VI 00820Get directions →

Provider Business Mailing Address Details

Address
Po Box 1051
Christiansted, VI 00821-1051
City
Christiansted
State
VI
Zip
00821-1051
Phone Number
340-332-3665
Fax Number
210-682-9509

License Information

Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angel Lake, MD?

The NPI number of Angel Lake, MD is 1063237360. It was assigned on November 20, 2024 and is currently active in the NPPES registry.

What is the specialty of Angel Lake, MD?

Angel Lake, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Angel Lake, MD practice?

The practice location is 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435. The office can be reached at 340-332-3665 (phone) or 210-682-9509 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063237360 directly on the NPPES registry website.

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