Provider Demographics
NPI:1669637542
Name:ALCALA-MARQUEZ, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:ALCALA-MARQUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:ALCALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,
Mailing Address - Street 1:PO BOX 8550
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0550
Mailing Address - Country:US
Mailing Address - Phone:787-766-7070
Mailing Address - Fax:787-756-5207
Practice Address - Street 1:1395 CALLE SAN RAFAEL
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2518
Practice Address - Country:US
Practice Address - Phone:787-766-7070
Practice Address - Fax:787-756-5207
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN56251207XS0117X, 207X00000X
PR27392R207X00000X
PR28014R207X00000X
PR20468207X00000X
PR12017-I207X00000X
PR28916-R207X00000X
PR28280-R207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine