Provider Demographics
NPI:1760460521
Name:ENGEL, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:ENGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:URB PALACIOS DEL PRADO
Mailing Address - Street 2:54 AVE ATLANTICO
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-2109
Mailing Address - Country:US
Mailing Address - Phone:787-432-6892
Mailing Address - Fax:787-260-8254
Practice Address - Street 1:43 DEGETAU STREET
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1630
Practice Address - Country:US
Practice Address - Phone:787-260-8254
Practice Address - Fax:787-260-8254
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8247207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
E66541Medicare UPIN
80018Medicare ID - Type Unspecified