NPIMap

Organization Active NPI

Angelorum, Inc.

  • Clinic/Center
  • Vega Alta, PR
National Provider Identifier
1285009613
Registry record updated Dec 10, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9663 Issued in PR
Legal business name
ANGELORUM, INC.
Practice address
Carr 693 KM 13.8
Suite 171 Bo Brenas
Vega Alta, PR 00692
Phone
(787) 270-3330
Fax
(787) 915-7594
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Luis M Gonzalez Sr., M.D
Title
Ceo /Director Medic
Phone
(787) 316-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9663 PR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 419
Vega Alta, PR 00692-0419
Phone (787) 270-3330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1285009613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920419",
            "telephone_number": "787-270-3330",
            "fax_number": "787-915-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 693 KM 13.8",
            "address_2": "SUITE 171 BO BRENAS",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-3330",
            "fax_number": "787-915-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELORUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO /DIRECTOR MEDIC",
        "authorized_official_telephone_number": "787-316-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "9663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.