MEDICARE: ALEXANDRA M. CONDE-TORO 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	207Q00000X	Family Medicine Physician	17504-I	PR

General Provider Information

NPI Number	:	1477245579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA M. CONDE-TORO MD

Provider Business Mailing Address
First Line	:	DEPARTAMENTO DE MEDICINA DE FAMILIA
Second Line	:	CALL BOX 6021
City	:	CAROLINA
State	:	PR
Zip	:	00984
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	HOSPITAL UPR DR. FEDERICO TRILLA
Second Line	:	CALL BOX 6021
City	:	CAROLINA
State	:	PR
Zip	:	00984
Country	:	US
Telephone Number	:	787-436-6477
Fax Number	:

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

Provider Enumeration Date	:	05/25/2023
Last Update Date	:	07/14/2025

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