Provider Demographics
NPI:1962537043
Name:ANGLERO, GRIZEL (MD)
Entity type:Individual
Prefix:DR
First Name:GRIZEL
Middle Name:
Last Name:ANGLERO
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:DR RAMIREZ QUILES ST
Mailing Address - Street 2:PASEO LOS ROBLES 1304
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-7782
Mailing Address - Country:US
Mailing Address - Phone:787-265-6392
Mailing Address - Fax:787-265-6392
Practice Address - Street 1:212 SAN ANTONIO ST
Practice Address - Street 2:SUITE #9
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-849-3960
Practice Address - Fax:787-849-1650
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9718174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist