Provider Demographics
NPI:1013404607
Name:ALMEIDA LARREA, ALEXANDER DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:DANIEL
Last Name:ALMEIDA LARREA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HORTON BLVD SW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4444
Mailing Address - Country:US
Mailing Address - Phone:252-206-1000
Mailing Address - Fax:
Practice Address - Street 1:2500 HORTON BLVD SW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4444
Practice Address - Country:US
Practice Address - Phone:252-206-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-00295207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology