| Doctor Name: | DR. ALAN EKANEM |
| NPI Number: | 1104272335 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 14024I |
| Business Practice Address: | Carr. 844, Km. 0.5 Cupey Bajo San Juan, PR - 00928 |
| Business Phone Number: | 7873058383 |
| Business Fax Number: | 7879611919 |
| Mailing Address: | Carr. 844, Km. 0.5,, Cupey Bajo SAN JUAN |
| State: | PR |
| Postal Code: | 00928 |
| Phone Number: | 7873058383 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2016 |
| NPI Last Update Date: | 05/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14024I |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |