Provider Demographics
NPI:1215106802
Name:ALMA, CAMELE ISABEL (DOM)
Entity type:Individual
Prefix:MRS
First Name:CAMELE
Middle Name:ISABEL
Last Name:ALMA
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 RANCHO SIRINGO CT
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5566
Mailing Address - Country:US
Mailing Address - Phone:505-699-2207
Mailing Address - Fax:
Practice Address - Street 1:1919 5TH ST
Practice Address - Street 2:SUITE N
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5402
Practice Address - Country:US
Practice Address - Phone:505-699-2207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM904171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist