Doctor Name: | DR. ERNESTO A ALONSO |
NPI Number: | 1396170601 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 018577 |
Business Practice Address: | Laurel Ave. 100 Urb. Santa Juanita Bayamon, PR - 00956 |
Business Phone Number: | 7877875151 |
Business Fax Number: | 7872690050 |
Mailing Address: | Laurel Ave. 100, Urb. Santa Juanita BAYAMON |
State: | PR |
Postal Code: | 00956 |
Phone Number: | 7877875151 |
Fax Number: | 7872690050 |
NPI Enumeration Date: | 09/05/2013 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 018577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |