Provider Demographics
NPI:1952364093
Name:NOLASCO, ANGEL TOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:TOMAS
Last Name:NOLASCO
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:G.P.O BOX 3258 CAROLINA P.R 00984
Mailing Address - Street 2:AVE MONSERRATE BH-16 VALLE ARRIBA HEIGHTS CAROLINA PR
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984
Mailing Address - Country:US
Mailing Address - Phone:787-762-9516
Mailing Address - Fax:787-750-2502
Practice Address - Street 1:HOSPITAL SAN FRANCISCO
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-767-5100
Practice Address - Fax:787-767-8303
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3778207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology