Rangel diagnosed my dog, Leeloo, with heartworm, which we already knew (as told by a previous vet). The vet was sketchy and didn't start her on a preventative immediately as do most vets-especially when they find out the dog has heartworm. Which is why we decided to take her to altas palmas. She also had begun coughing, still losing weight, dripping after a spay, and limping suddenly. However, Rangel was disconcerned with my dog's sudden weight loss which made me think I was overanalyzing my dogs digression. Getting answers and information out of this vet was like pulling a tooth-and he's supposed to be the knowledgable one telling me what's wrong with my dog, what to do, and what to be prepared for! HE IS the vet! Since my dog wasn't in great shape heartworm treatment wouldnt be for another few months. As he kicked me out the door with an infection med, heartguard and flea pill, to hurry and take my money, I had to stall him once more to ask him if my dogs front paw would be okay, since one of the reason for bringing her in was that she wasn't walking well (the tech even carried her out of the truck). Well that jerk did not even care, he said hadn't noticed it, made her walk, said she was fine and if she wasn't by her 2 week follow up appt, then we might x-ray it. When I got home to take her out, I saw another red spot from her spay and remembered he had not answered my question of why she was still bleeding if she was spayed. When I called to take him, they said he was on lunch and would call me back. He did not. I gave him 4 days and called myself to request a diff vet for the follow up. Well 2 days before her appt she died...and if you think your dog might need serious attention, don't go to him. Only Putman and Ditman would I trust with my dog, bc Ditman treated my min pin when she had cancer and explained everything well, and some. Putman actually called me back to answer someo f my questions of my dearl, now passed Leeloo, not Rangel. If it weren't for those 2 careing vets, I would give this review 0 stars bc Rangel sadly represents this clinic as well.