Healthcare Provider Details

I. General information

NPI: 1558338772
Provider Name (Legal Business Name): JORGE ALON GALIBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GOV JUAN LUIS HOSPITAL & MEDICAL CENTER 4007 DIAMOND RUBY
CHRISTIANSTED VI
00820
US

IV. Provider business mailing address

3006 PALM VILLAS CONDOS APT B2, APT 1F ORANGE GROVE
CHRISTIANSTED VI
00820
US

V. Phone/Fax

Practice location:
  • Phone: 340-772-7304
  • Fax: 340-772-7483
Mailing address:
  • Phone: 340-772-7304
  • Fax: 340-772-7483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number889
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: