ANGEL LAKE, MD
NPI 1063237360
Internal Medicine in Christiansted, VI

Active since November 20, 2024
4007 ESTATE DIAMOND RUBY, CHRISTIANSTED, VI 00820(340) 332-3665(210) 682-9509 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2025, Nov 20, 2024 (2 updates tracked since 2024).

About Angel Lake, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL LAKE, MD (NPI 1063237360) is a healthcare organization registered as an internal medicine in Christiansted, Virgin Islands and active in the NPI registry since November 2024. The organization lists Angel Lake, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1063237360
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANGEL LAKE, MD
Location Address4007 ESTATE DIAMOND RUBYChristiansted, VI 00820-4435
Mailing AddressPo Box 1051Christiansted, VI 00821-1051 · (340) 332-3665 · Fax (210) 682-9509
Fax(210) 682-9509
Organization SubpartNo
Authorized OfficialAngel LakePhysician/owner · (340) 332-3665
Enumeration DateNovember 20, 2024
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
NPI 1063237360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Pathology (Anatomic Pathology & Clinical Pathology)
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Clinical Nurse Specialist (Emergency)
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Registered Nurse
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Pathology (Forensic Pathology)
4007 ESTATE DIAMOND RUBY, GOV. JUAN F. LUIS HOSPITAL
CHRISTIANSTED, VI 00820
Physician Assistant
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Advanced Practice Midwife
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Radiology (Diagnostic Radiology)
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Lake, MD's NPI number?

The NPI number for Angel Lake, MD is 1063237360. It was assigned to this organization in the NPPES registry on November 20, 2024.

Where is Angel Lake, MD located?

Angel Lake, MD is located at 4007 Estate Diamond Ruby, Christiansted, VI 00820. The listed phone number is (340) 332-3665.

What is Angel Lake, MD's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Angel Lake, MD was last updated on February 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.