Provider Demographics
NPI:1811003692
Name:ALMODOVAR, ANGEL ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:ROBERTO
Last Name:ALMODOVAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANGEL
Other - Middle Name:ROBERTO
Other - Last Name:ALMODOVAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7128
Mailing Address - Street 2:MIGRANT HEALTH CENTER, INC.
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7128
Mailing Address - Country:US
Mailing Address - Phone:787-805-2900
Mailing Address - Fax:787-834-1924
Practice Address - Street 1:CALLE RAMON EMETERIO BETANCES 392 SUR
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-805-2900
Practice Address - Fax:787-834-1924
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3932207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2526OtherAMPR
PR660427801OtherCIGNA PREFERRED
PR062611OtherCRUZ AZUL
PR25367OtherTRIPLE S
PR25367OtherMEDICARE OPTIMO
PR2231TOtherPMC
PR25367OtherMEDICARE SELECTO
PR660427801OtherCIGNA EXCLUSIVE
PR660427801BIOtherMCS CLASSICARE
PRSH7801OtherUIA PROVIDER NUMBER
PR209206OtherPREFERRED HEALTH PROVIDER
PR660427801OtherMAPFRE
PR6800036OtherHUMANA PROVIDER NUMBER
PR112215014OtherMCS HMO PROVIDER NUM
PR660427801OtherCOSVIMED PROVIDER NUM
PR660427801B1OtherMCS PROVIDER NUMBER
PR7082OtherFIRST MEDICAL PROVIDER NU
PR112215014OtherMCS HMO PROVIDER NUM
PR660427801OtherCIGNA EXCLUSIVE
PR062611OtherCRUZ AZUL