Individual
JEROME ALCALA SIGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55507
WI
208000000X
Pediatrics Physician
Primary
ME 119989
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011844400
—
FL
05
—
1801060843
—
WI
01
—
HU634Z
MEDICARE PTAN
FL
Enumeration date
04/22/2008
Last updated
04/20/2016
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