Healthcare Provider Details

I. General information

NPI: 1821086331
Provider Name (Legal Business Name): ALEJANDRO CALVI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56B AVE. MUNOZ MARIN
HUMACAO PR
00791
US

IV. Provider business mailing address

1A CALLE VALENCIA S
GUAYAMA PR
00784-4808
US

V. Phone/Fax

Practice location:
  • Phone: 787-285-8078
  • Fax: 787-285-8078
Mailing address:
  • Phone: 787-285-8078
  • Fax: 787-285-8078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number10453
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: