Healthcare Provider Details

I. General information

NPI: 1124691480
Provider Name (Legal Business Name): ALEXANDRA ABELINA LEMA MOROCHO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 HARRISON AVE
BOSTON MA
02118-2365
US

IV. Provider business mailing address

72 E CONCORD ST # C318
BOSTON MA
02118-2642
US

V. Phone/Fax

Practice location:
  • Phone: 671-638-7470
  • Fax:
Mailing address:
  • Phone: 617-638-7470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number288943
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: