Provider Demographics
NPI:1285203349
Name:PICART, ANGEL ANTONIO
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:ANTONIO
Last Name:PICART
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 1:71 BDA LAS MERCEDES
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-2097
Mailing Address - Country:US
Mailing Address - Phone:787-839-0404
Mailing Address - Fax:787-866-8925
Practice Address - Street 1:120 CALLE MORSE
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-2607
Practice Address - Country:US
Practice Address - Phone:787-839-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022516208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice