Healthcare Provider Details

I. General information

NPI: 1326075649
Provider Name (Legal Business Name): ANGELO K GALIBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 06/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 SION FARM SUITE 4B
CHRISTIANSTED VI
00820-4423
US

IV. Provider business mailing address

4500 SUNNY ISLE IS. MED CENTER SUITE 4B
CHRISTIANSTED VI
00820
US

V. Phone/Fax

Practice location:
  • Phone: 340-778-5305
  • Fax: 340-778-2778
Mailing address:
  • Phone: 340-778-5305
  • Fax: 340-778-2778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number784
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: