Provider Demographics
NPI:1033913751
Name:ALONSO DOVAL, ALEJANDRA SOFIA (PSYD)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:SOFIA
Last Name:ALONSO DOVAL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHALETS DE BAIROA
Mailing Address - Street 2:113 GORRION
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-692-1499
Mailing Address - Fax:
Practice Address - Street 1:VILLA BLANCA 68
Practice Address - Street 2:CALLE AQUAMARINA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-1908
Practice Address - Country:US
Practice Address - Phone:787-692-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8096103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical