MEDICARE: MARIA EM VENUS ALEGRE

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	3747P1801X	Personal Care Attendant	4600362520	CA

General Provider Information

NPI Number	:	1598613960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA EM VENUS ALEGRE

Provider Business Mailing Address
First Line	:	371 SHADOWBERRY PL
Second Line	:
City	:	LATHROP
State	:	CA
Zip	:	95330-8889
Country	:	US
Telephone Number	:	408-234-6114
Fax Number	:

Provider Business Practice Location Address
First Line	:	785 OAKHURST DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92114-6513
Country	:	US
Telephone Number	:	408-234-6114
Fax Number	:

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

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ MARIA EM VENUS ALEGRE ” Practice Location

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