Provider Demographics
NPI:1598730756
Name:ANGELATS, JUAN C (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:C
Last Name:ANGELATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6545 FRANCE AVENUE SOUTH
Mailing Address - Street 2:SUITE 540
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-927-4045
Mailing Address - Fax:952-924-4133
Practice Address - Street 1:6545 FRANCE AVENUE SOUTH
Practice Address - Street 2:SUITE 540
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-927-4045
Practice Address - Fax:952-924-4133
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN42594207VE0102X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
094M9ANOtherBCBS OF MN
MNHP35290OtherHEALTH PARTNERS
MN073826300Medicaid
MN073826300Medicaid
094M9ANOtherBCBS OF MN