Angel San Miguel

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

558 Issued in PR

Practice address

La Torre de Plaza Las Americas
Suite 709 F.D. Roosvelt
San Juan, PR 00918

Phone

(787) 764-8111

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003951849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA TORRE DE PLAZA LAS AMERICAS",
            "address_2": "SUITE 709 F.D. ROOSVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA TORRE DE PLAZA LAS AMERICAS",
            "address_2": "SUITE 709 F.D. ROOSVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-764-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN MIGUEL",
        "first_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan Wellness Clinic LLC
• San Lucas Metro, Inc (Centro de Cuidado Prolongado San Lucas)
• San Lucas Metro, Inc. (Hospital Episcopal San Lucas Metro)
• Andrea Carolina San Miguel Perez
• Liza E. San Miguel-Montes, PSY. D
• San Patricio Internal Medicine and Geriatrics Center, PSC
• Glorivette San Vicente-Morales
• Sana Wound Care, LLC
• Karina Sanabria Ortiz
• Monica Sanabria-Seda, PHARM.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.