Angel Lake, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANGEL LAKE, MD

Practice address

4007 Estate Diamond Ruby
Christiansted, VI 00820-4435

Phone

(340) 332-3665

Fax

(210) 682-9509

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Angel Lake, MDNPI 1205978335

Title

Physician/Owner

Phone

(340) 332-3665

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angel Anthony Lake, MD

  • Internal Medicine Physician
  • Christiansted, VI
  • NPI 1205978335
  NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1063237360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008211051",
            "telephone_number": "340-332-3665",
            "fax_number": "210-682-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 ESTATE DIAMOND RUBY",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204435",
            "telephone_number": "340-332-3665",
            "fax_number": "210-682-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL LAKE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "340-332-3665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areannah C Agathe
• Debra Allen, CNM ARNP
• Ariel Amberslie
• Ronald L Anders, MD
• Tamara Eve Anderson, ARNP
• Deborah V. Appleyard, M.D.
• Roy Zech Arcamo, PA
• Sierra Olympia Archer, OTR
• Jennifer Arizu, PA-C
• Delisha Shakyra Arthurton-Stoute

• Internal Medicine Physician in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Internal Medicine Physician in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.