Organization Name: | CONSULTORIO MEDICO DR AQUILES ALVAREZ & ASOCIADOS CSP |
NPI Number: | 1649410176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AQUILES ALVAREZ BERMUDEZ (MEDIC) |
Mailing Address: | Plaza El Junco Suite #2 Carretera 651 K.m. 2.5 Arecibo |
State: | PR US |
Postal Code: | 00612 |
Phone Number: | 7876501553 |
Fax Number: | 7878172571 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |