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Angel Lake, MD

Internal Medicine Physician in Christiansted, VI · enumerated 2024 · authorized official Angel Lake, Physician/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063237360

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Registry record

Entity type Organization (Type 2)
Legal business name Angel Lake, MD
Practice address 4007 Estate Diamond Ruby, Christiansted, VI, 00820
Phone (340) 332-3665
Fax (210) 682-9509
Enumeration date Nov 20, 2024
Last updated in NPPES Feb 13, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Angel Lake
Title Physician/Owner
Phone (340) 332-3665

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Angel Lake, MD?
The NPI for Angel Lake, MD is 1063237360, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Angel Lake, MD?
NPPES lists Angel Lake (Physician/Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-13.