Provider Demographics
NPI:1841288230
Name:ALAMO, ISABEL (MD)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:ALAMO
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 1:43 CALLE SANTA MARIA
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-3758
Mailing Address - Country:US
Mailing Address - Phone:787-852-1055
Mailing Address - Fax:787-285-3450
Practice Address - Street 1:108 CALLE FONT MARTELO E
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3928
Practice Address - Country:US
Practice Address - Phone:787-852-1055
Practice Address - Fax:787-285-3450
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4947207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4947OtherPUERTO RICO LICENSE
PR2-6882Medicare ID - Type Unspecified
PR4947OtherPUERTO RICO LICENSE