Provider Demographics
NPI:1649683699
Name:VILLAGRASA FLORES, ALEJANDRA ANDRESA (MD)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRA
Middle Name:ANDRESA
Last Name:VILLAGRASA FLORES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CARR 833 APT 508
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3367
Mailing Address - Country:US
Mailing Address - Phone:787-403-8129
Mailing Address - Fax:
Practice Address - Street 1:300 CALLE 1 STE 2
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-4117
Practice Address - Country:US
Practice Address - Phone:787-403-8129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-07
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PR19560207RN0300X, 207R00000X
PR31727-R207R00000X
PR13495-I207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine