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General NPI Number Information
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NPI Number | 1295066124
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Entity Type | Individual
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Provider Name | CARLOS R. ALCALA MARQUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | AVE ARTERIAL HOSTOS # 239 CAPITAL CENTER BLDG. SUITE 606
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City | SAN JUAN
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State | PR
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Zip | 00918-1451
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Country | US
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Telephone | 787-250-1193
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Fax | 787-281-6119
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Provider Business Mailing Address
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Address Line | AVE ARTERIAL HOSTOS # 239 CAPITAL CENTER BLDG. SUITE 606
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City | SAN JUAN
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State | PR
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Zip | 00918-1451
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Country | US
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Telephone | 787-250-1193
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Fax | 787-281-6119
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 247245
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 17780
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License Number State | PR
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