Provider Demographics
NPI:1487652939
Name:ALCALA MUNOZ, CARLOS R (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:R
Last Name:ALCALA MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CAPITAL CENTER SUITE 606
Mailing Address - Street 2:AVE. ARTERIAL HOSTOS 239
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-250-1193
Mailing Address - Fax:787-281-6119
Practice Address - Street 1:CAPITAL CENTER SUITE 606
Practice Address - Street 2:AVE. ARTERIAL HOSTOS 239
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-250-1193
Practice Address - Fax:787-281-6119
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8089207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE04609Medicare UPIN
PR29483Medicare ID - Type UnspecifiedMEDICARE PROVIDER