Provider Demographics
NPI:1154708386
Name:PAZ, ANGIE E (MD)
Entity type:Individual
Prefix:
First Name:ANGIE
Middle Name:E
Last Name:PAZ
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:AVENIDA AGUAS BUENAS
Mailing Address - Street 2:BLQ 1632-A-1
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-923-1823
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA AGUAS BUENAS
Practice Address - Street 2:BLQ 1632-A-1
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-923-1823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL133209208D00000X
PR019967208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice