Provider Demographics
NPI:1033104401
Name:MOLINA, MARIA ANGELES (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELES
Last Name:MOLINA
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 1:23 CALLE MORAGON
Mailing Address - Street 2:BAY VIEW
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-4105
Mailing Address - Country:US
Mailing Address - Phone:787-780-8276
Mailing Address - Fax:
Practice Address - Street 1:SAN JUAN CITY HOSPITAL
Practice Address - Street 2:MEDICAL CENTER
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-765-7618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4826174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist