MEDICARE: MRS. ALMA R CORBALA CONTRERAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	5573	PR

General Provider Information

NPI Number	:	1457333452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALMA R CORBALA CONTRERAS MD

Provider Business Mailing Address
First Line	:	PO BOX 1841
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-1841
Country	:	US
Telephone Number	:	787-831-7821
Fax Number	:	787-833-6940

Provider Business Practice Location Address
First Line	:	59 CALLE DE DIEGO E
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-4804
Country	:	US
Telephone Number	:	787-831-7821
Fax Number	:	787-833-6940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	10/22/2018

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