Healthcare Provider Details

I. General information

NPI: 1528012879
Provider Name (Legal Business Name): GRACIELA S ALARCON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 10/09/2025
Certification Date:
Deactivation Date: 07/29/2019
Reactivation Date: 10/09/2025

III. Provider practice location address

619 19TH STREET SOUTH
BIRMINGHAM AL
35233
US

IV. Provider business mailing address

PO BOX 55309
BIRMINGHAM AL
35255-5310
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number09717
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: