Provider Demographics
NPI:1457333452
Name:CORBALA CONTRERAS, ALMA R (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:R
Last Name:CORBALA CONTRERAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1841
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1841
Mailing Address - Country:US
Mailing Address - Phone:787-831-7821
Mailing Address - Fax:787-833-6940
Practice Address - Street 1:59 CALLE DE DIEGO E
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4804
Practice Address - Country:US
Practice Address - Phone:787-831-7821
Practice Address - Fax:787-833-6940
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR27841Medicare ID - Type Unspecified
E28229Medicare UPIN