Provider Demographics
NPI:1134846462
Name:ALCONES, JOSEPH GLENN (RN)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:GLENN
Last Name:ALCONES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36862 PICTOR AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4203
Mailing Address - Country:US
Mailing Address - Phone:619-948-9523
Mailing Address - Fax:
Practice Address - Street 1:7575 METROPOLITAN DR STE 211
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4424
Practice Address - Country:US
Practice Address - Phone:619-688-6190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531552163WD1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal