MEDICARE: DR. SANDRA E. ALSINA OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	467	PR

General Provider Information

NPI Number	:	1023223112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA E. ALSINA OD

Provider Business Mailing Address
First Line	:	PO BOX 21049
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00928-1049
Country	:	US
Telephone Number	:	787-615-0451
Fax Number	:

Provider Business Practice Location Address
First Line	:	COSTCO CAROLINA
Second Line	:	1185 AVE 65 DE INFANTERIA
City	:	SAN JUAN
State	:	PR
Zip	:	00924-0000
Country	:	US
Telephone Number	:	787-999-7228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	09/01/2020

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