Individual
JEROME ALCALA SIGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3110 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3812
(858) 552-8585
Mailing address
3110 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3812
(858) 552-8585
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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