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Organization
ANGELORUM, INC.
Active
Organization
ANGELORUM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS M GONZALEZ SR. M.D (CEO /DIRECTOR MEDIC)
(787) 316-1212
Entity
Organization
Contact information
Practice address
CARR 693 KM 13.8, SUITE 171 BO BRENAS, VEGA ALTA, PR 00692
(787) 270-3330
(787) 915-7594
Mailing address
PO BOX 419, VEGA ALTA, PR 00692-0419
(787) 270-3330
(787) 915-7594
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9663
PR
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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