Provider Demographics
NPI:1780801308
Name:RIGUERAS, ANGEL J (DO)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:J
Last Name:RIGUERAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 FLECKENSTEINN DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507
Mailing Address - Country:US
Mailing Address - Phone:810-877-7370
Mailing Address - Fax:810-230-9338
Practice Address - Street 1:3400 FLECKENSTEIN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3042
Practice Address - Country:US
Practice Address - Phone:810-877-7370
Practice Address - Fax:810-230-9338
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016641208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation