Healthcare Provider Details

I. General information

NPI: 1346504875
Provider Name (Legal Business Name): ALBERTO ALLEGRE ALONSO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CROSSPOINT BLVD
EDINBURG TX
78539-1803
US

IV. Provider business mailing address

PO BOX 531968
HARLINGEN TX
78553-1968
US

V. Phone/Fax

Practice location:
  • Phone: 956-296-1960
  • Fax: 956-296-2855
Mailing address:
  • Phone: 833-887-4863
  • Fax: 956-296-6857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberQ9936
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: