Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angel Lake, MD

Organization Internal Medicine Physician · NPI 1063237360

Angel Lake, MD is an Internal Medicine Physician in Christiansted, U.S. Virgin Islands. Registered with an NPI since 2024.

In the registry since
2024
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4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Phone: (340) 332-3665
Fax: (210) 682-9509

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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063237360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Lake — Physician/Owner · (340) 332-3665
NPI enumeratedNovember 20, 2024
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing addressPo Box 1051, Christiansted, VI 00821-1051

Other providers in Christiansted