Provider Demographics
NPI:1093827081
Name:ALEQUIN, ANGEL (MD)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:ALEQUIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0164
Mailing Address - Country:US
Mailing Address - Phone:787-877-1203
Mailing Address - Fax:787-877-1203
Practice Address - Street 1:500 CALLE CONCEPCION VERA STE 3
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-5072
Practice Address - Country:US
Practice Address - Phone:787-877-1203
Practice Address - Fax:787-877-1203
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7931207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology