Healthcare Provider Details

I. General information

NPI: 1629997317
Provider Name (Legal Business Name): MR. CRISTOBAL ALEJANDRO BALMACEDA ALMEIDA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW DEPARTMENT OF CARDIOVASCULAR DISEASE
WASHINGTON DC
20010
US

IV. Provider business mailing address

110 IRVING ST NW DEPARTMENT OF CARDIOVASCULAR DISEASE
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7777
  • Fax: 202-877-6891
Mailing address:
  • Phone: 202-877-7777
  • Fax: 202-877-6891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberMTL600211619
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: