Provider Demographics
NPI:1376236620
Name:ANGULO ESPINOSA, FABIOLA EILEEN JULIANA
Entity Type:Individual
Prefix:
First Name:FABIOLA
Middle Name:EILEEN JULIANA
Last Name:ANGULO ESPINOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LUIS A. FERRE HIGHWAY EXIT #21
Mailing Address - Street 2:ROAD 172 CAGUAS TO CIDRA, TURABO GARDENS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-743-3038
Mailing Address - Fax:
Practice Address - Street 1:LUIS A. FERRE HIGHWAY EXIT #21
Practice Address - Street 2:ROAD 172 CAGUAS TO CIDRA, TURABO GARDENS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program