Provider Demographics
NPI:1578820577
Name:ALEJANDRO, PALOMA (MD)
Entity Type:Individual
Prefix:
First Name:PALOMA
Middle Name:
Last Name:ALEJANDRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 AVE. CESAR GONZALEZ, SUITE 101-A
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-765-9034
Mailing Address - Fax:787-765-1274
Practice Address - Street 1:576 AVE. CESAR GONZALEZ
Practice Address - Street 2:SUITE 101-A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-765-9034
Practice Address - Fax:787-765-1274
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21330207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty