Provider Demographics
NPI:1922329135
Name:BAQUIR, ANGELO BERNARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELO
Middle Name:BERNARDO
Last Name:BAQUIR
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:NMRTU ATSUGI NAF ATSUGI
Mailing Address - Street 2:BLDG 21
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 477 BOX 2
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96306-0001
Practice Address - Country:US
Practice Address - Phone:315-264-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26430207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine