Healthcare Provider Details

I. General information

NPI: 1780650762
Provider Name (Legal Business Name): MARIA C FALCON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SIVLEY RD SW
HUNTSVILLE AL
35801-4421
US

IV. Provider business mailing address

PO BOX 11407 DRAWER 141
BIRMINGHAM AL
35246-0141
US

V. Phone/Fax

Practice location:
  • Phone: 256-265-9905
  • Fax: 256-265-9910
Mailing address:
  • Phone: 205-437-6098
  • Fax: 205-437-5998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24375
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD24375
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: