Healthcare Provider Details

I. General information

NPI: 1669637542
Provider Name (Legal Business Name): CHRISTOPHER ALCALA-MARQUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHRISTOPHER ALCALA M.D,

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CALLE SAN RAFAEL
SAN JUAN PR
00909-2518
US

IV. Provider business mailing address

PO BOX 8550
SAN JUAN PR
00910-0550
US

V. Phone/Fax

Practice location:
  • Phone: 787-766-7070
  • Fax: 787-756-5207
Mailing address:
  • Phone: 787-766-7070
  • Fax: 787-756-5207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number28014R
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number12017-I
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number28916-R
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number28280-R
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number20468
License Number StatePR
# 6
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number27392R
License Number StatePR
# 7
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number56251
License Number StateMN
# 8
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number56251
License Number StateMN
# 9
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number20468
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: