Healthcare Provider Details

I. General information

NPI: 1811695869
Provider Name (Legal Business Name): CATHERINE ALAMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA HOSPITAL
TRUJILLO ALTO PR
00977-1713
US

IV. Provider business mailing address

PO BOX 1713
TRUJILLO ALTO PR
00977-1713
US

V. Phone/Fax

Practice location:
  • Phone: 787-412-2355
  • Fax:
Mailing address:
  • Phone: 787-412-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9352561
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: