IndividualActive
Angel Lake, MD
NPI 1205978335 · Internal Medicine Physician · Christiansted, VI
Provider details
- NPI number
- 1205978335
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1365 (VI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Mailing address
Po Box 371
Christiansted, VI 00821-0371
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2010-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.