Provider Demographics
NPI:1124758818
Name:ALOMAR SASTRE, GIOVANNI (PHD)
Entity type:Individual
Prefix:DR
First Name:GIOVANNI
Middle Name:
Last Name:ALOMAR SASTRE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 LOS FLABOYANES
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2240
Mailing Address - Country:US
Mailing Address - Phone:787-365-1260
Mailing Address - Fax:
Practice Address - Street 1:3020 AVE SAN CRISTOBAL
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2896
Practice Address - Country:US
Practice Address - Phone:939-835-7173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7311103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical