Provider Demographics
NPI:1821086331
Name:CALVI, ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:
Last Name:CALVI
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 1:1A CALLE VALENCIA S
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-4808
Mailing Address - Country:US
Mailing Address - Phone:787-285-8078
Mailing Address - Fax:787-285-8078
Practice Address - Street 1:56B AVE. MUNOZ MARIN
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-285-8078
Practice Address - Fax:787-285-8078
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10453208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10453OtherPUERTO RICO STATE LICENSE
PR088291-8OtherSTATE DRUGS LICENSE
PR088291-8OtherSTATE DRUGS LICENSE
PR10453OtherPUERTO RICO STATE LICENSE
PRF94781Medicare UPIN