Organization · NPI-2

Angelorum, INC.

Clinic/Center · Vega Alta, PR

NPI number1285009613
StatusActive
Last updated in NPPESDec 10, 2015

Details

NPI
1285009613
Entity type
Organization (NPI-2)
Legal business name
Angelorum, INC.
Organization subpart
No
Enumeration date
Dec 10, 2015
Last updated
Dec 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center9663PRYes

Practice location

Carr 693 Km 13.8
Suite 171 Bo Brenas
Vega Alta, PR 00692

Phone 787-270-3330 · Fax 787-915-7594

Mailing address

Po Box 419
Vega Alta, PR 00692-0419

Phone 787-270-3330 · Fax 787-915-7594

Authorized official

Luis M Gonzalez
Ceo /Director Medic
7873161212

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