Healthcare Provider Details

I. General information

NPI: 1841288230
Provider Name (Legal Business Name): ISABEL ALAMO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 CALLE FONT MARTELO E
HUMACAO PR
00791-3928
US

IV. Provider business mailing address

43 CALLE SANTA MARIA
HUMACAO PR
00791-3758
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-1055
  • Fax: 787-285-3450
Mailing address:
  • Phone: 787-852-1055
  • Fax: 787-285-3450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number4947
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: