Provider Demographics
NPI:1295066124
Name:ALCALA MARQUEZ, CARLOS R (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:R
Last Name:ALCALA MARQUEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:AVE ARTERIAL HOSTOS # 239
Mailing Address - Street 2:CAPITAL CENTER BLDG. SUITE 606
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1451
Mailing Address - Country:US
Mailing Address - Phone:787-250-1193
Mailing Address - Fax:787-281-6119
Practice Address - Street 1:AVE ARTERIAL HOSTOS # 239
Practice Address - Street 2:CAPITAL CENTER BLDG. SUITE 606
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1451
Practice Address - Country:US
Practice Address - Phone:787-250-1193
Practice Address - Fax:787-281-6119
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-05-11
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Provider Licenses
StateLicense IDTaxonomies
NY247245207RP1001X
PR17780207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease