Provider Demographics
NPI:1700750668
Name:ALEJANDRE, JUAN
Entity type:Individual
Prefix:MR
First Name:JUAN
Middle Name:
Last Name:ALEJANDRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 ROLLINS RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-2306
Mailing Address - Country:US
Mailing Address - Phone:650-235-1333
Mailing Address - Fax:
Practice Address - Street 1:1510 ROLLINS RD
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2306
Practice Address - Country:US
Practice Address - Phone:650-235-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP37372146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic