Healthcare Provider Details

I. General information

NPI: 1396037362
Provider Name (Legal Business Name): CRISTINA ISABEL SEPULVEDA ALAMO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2011
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE CASIA
SAN JUAN PR
00921-3200
US

IV. Provider business mailing address

94 RAMAL 842 APT 116
SAN JUAN PR
00926-3907
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax: 787-641-5716
Mailing address:
  • Phone: 787-852-6101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number19013
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: