Provider Demographics
NPI:1063909273
Name:RIGAL, ANGEL
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:
Last Name:RIGAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12244 SW 25TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-0769
Mailing Address - Country:US
Mailing Address - Phone:786-259-3132
Mailing Address - Fax:
Practice Address - Street 1:12244 SW 25TH CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-0769
Practice Address - Country:US
Practice Address - Phone:786-259-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty