Provider Demographics
NPI:1639297195
Name:ALFARO, INEZ MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:INEZ
Middle Name:MARIA
Last Name:ALFARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:INES
Other - Middle Name:MARIA
Other - Last Name:ALFARO-MENDOZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1166
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1166
Mailing Address - Country:US
Mailing Address - Phone:787-286-2470
Mailing Address - Fax:787-745-1022
Practice Address - Street 1:AVE. MUNOZ MARIN # N-8
Practice Address - Street 2:SANTA JUANA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-286-2470
Practice Address - Fax:787-745-1022
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR102902083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine