Provider Demographics
NPI:1265543094
Name:ORGERA, ANGELINA ALEJANDRINO (MD)
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:ALEJANDRINO
Last Name:ORGERA
Suffix:
Gender:F
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:PO BOX 10005
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-2005
Mailing Address - Country:US
Mailing Address - Phone:256-768-9509
Mailing Address - Fax:256-768-9715
Practice Address - Street 1:205 MARENGO STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630
Practice Address - Country:US
Practice Address - Phone:256-768-9509
Practice Address - Fax:256-768-9715
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22218207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP01277398OtherRAILROAD MEDICARE
AL151805Medicaid
3829530Medicare ID - Type Unspecified
AL151805Medicaid