Angel A Lake (NPI# 1205978335, PAC ID# 4688739311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205978335 |
| PAC ID by PECOS | 4688739311 |
| Professional Enrollment ID | I20090212000641 |
| Full Name | Angel A Lake |
| Address |
4007 Estate Diamond Ruby Gov Juan F Luis Hospital and Medical Center Christiansted VI 00820-4421 |
| Phone Number | 3407786311 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 480002 | GOV JUAN F LUIS HOSPITAL & MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 4007 Estate Diamond Ruby, Gov Juan F Luis Hospital and Medical Center, Christiansted, VI 00820-4421 | 3407786311 | |
| 4 B Sion Farm, Christiansted, St Croix, VI 00820-0001 | 3407137000 | CARDIOVASCULAR ASSOCIATES OF THE VI, PLLC |
| Street Address |
4007 ESTATE DIAMOND RUBY GOV JUAN F LUIS HOSPITAL AND MEDICAL CENTER |
| City | CHRISTIANSTED |
| State | VI |
| Zip | 00820-4421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayya Kawar | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| David Bogolub | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Evadne Sang | Psychiatry | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | |
| Wayne T Marchant | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Renee N Georges | General Surgery | 4007 Estate Diamond Ruby, Christiansted, VI 00821-4421 | |
| Ruth Hambrecht | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Carlos Sanchez | Anesthesiology | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | |
| Conrad W Smith | General Surgery | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | |
| Leslie Burton | Family Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Beth A Joseph | Emergency Medicine | Governor Juan F Luis Hospital and Medical Center | 4007 Estate Diamond Ruby, St Croix, VI 00820-4435 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie M Schmidt | Physician Assistant | Plessen Medical Group, LLC | 5 Orange Grove, Christiansted, VI 00820 |
| Gasnel E Bryan | Obstetrics/gynecology | 2024 Estate Mount Welcome, Suite 10, Christiansted, VI 00820 | |
| Coralee I Lewis | Diagnostic Radiology | Imaging Center, PC | 4500 Sion Farm St, 4b Island Medical Center, Christiansted, VI 00820 |
| Kala Mabry | Physical Therapy | Cog Restore, LLC | 201 -202 Estate Ruby, Christiansted, St Croix, VI 00820 |
| Jaclyn K Robak | Optometry | St. Croix Vision Center | 4500 Sion Farm, Suite 2, Christiansted, VI 00820 |
| Otto E Campos | Ophthalmology | Ophthalmology Consultants, PC | 3006 Orange Grove, Christiansted, VI 00820 |
| Gregory J Moorman | Plastic and Reconstructive Surgery | 118 A Estate Mt Welcome, Christiansted, VI 00820 | |
| Babu Subramaniam | Neurology | 4040 Lagrande Prncesse, Suite 1, Christiansted, VI 00820 | |
| Risa Nielsen | Internal Medicine | Beeston Hill Medical Ctr, Suite 12, St Croix, VI 00820 | |
| Purvi H Gala | Optometry | St. Croix Vision Center | 4500 Sion Farm, Suite 2, Christiansted, VI 00820 |
| Find all physicians in zip 00820 | |||
| City | CHRISTIANSTED |
| Zip Code | 00820 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHRISTIANSTED + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Angel A Lake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.