Provider Demographics
NPI:1215538012
Name:SIERRA, ALEJANDRO MANUEL
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:MANUEL
Last Name:SIERRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 AIRLINE HWY STE 121
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8000
Mailing Address - Country:US
Mailing Address - Phone:551-655-3285
Mailing Address - Fax:
Practice Address - Street 1:9800 AIRLINE HWY STE 121
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8000
Practice Address - Country:US
Practice Address - Phone:551-655-3285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider