Healthcare Provider Details
I. General information
NPI: 1467414284
Provider Name (Legal Business Name): FRANCISCA J. ALONSO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UNITED SHOPPING PLAZA SUITE 5-6 SION FARM
C'STED VI
00820
US
IV. Provider business mailing address
PO BOX 7903
CHRISTIANSTED VI
00823-7903
US
V. Phone/Fax
- Phone: 340-778-6165
- Fax: 340-778-6165
- Phone: 340-778-1144
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 632 |
| License Number State | VI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: