Provider Demographics
NPI:1619197068
Name:ALACOQUE, XAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:
Last Name:ALACOQUE
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 1:550 GENE FRIEND WAY APT 613
Mailing Address - Street 2:UCSF MISSION BAY HOUSING SERVICES SOUTH BUILDING
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2289
Mailing Address - Country:US
Mailing Address - Phone:415-254-8169
Mailing Address - Fax:210-855-7654
Practice Address - Street 1:UCSF DEPARTMENT OF ANESTHESIA AND PERIOPERATIVE CARE
Practice Address - Street 2:521 PARNASSUS AVENUE ROOM C-450
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0648
Practice Address - Country:US
Practice Address - Phone:415-476-2131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF 5362207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine