Provider Demographics
NPI:1942593033
Name:ALSINA, CORALIS
Entity Type:Individual
Prefix:
First Name:CORALIS
Middle Name:
Last Name:ALSINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370346
Mailing Address - Street 2:PALMA REAL
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0346
Mailing Address - Country:US
Mailing Address - Phone:787-434-7474
Mailing Address - Fax:787-535-9646
Practice Address - Street 1:ESTANCIAS DE CIDRA 3
Practice Address - Street 2:D16
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-553-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1576133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist