OrganizationActive
Angel Lake, MD
NPI 1063237360 · Internal Medicine Physician · Christiansted, VI
Provider details
- NPI number
- 1063237360
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angel Lake, Physician/Owner(340) 332-3665
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Phone: (340) 332-3665
Fax: (210) 682-9509
Mailing address
Po Box 1051
Christiansted, VI 00821-1051
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.