1649410176 NPI number — CONSULTORIO MEDICO DR AQUILES ALVAREZ & ASOCIADOS CSP

Table of content: (NPI 1649410176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649410176 NPI number — CONSULTORIO MEDICO DR AQUILES ALVAREZ & ASOCIADOS CSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONSULTORIO MEDICO DR AQUILES ALVAREZ & ASOCIADOS CSP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
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Provider Other Name Prefix Text:
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Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649410176
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE EMILO CASTELAR
Provider Second Line Business Mailing Address:
APT 11-B
Provider Business Mailing Address City Name:
ARECIBO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-650-1553
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PLAZA EL JUNCO SUITE #2
Provider Second Line Business Practice Location Address:
CARRETERA 651 K.M. 2.5
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-650-1553
Provider Business Practice Location Address Fax Number:
787-817-2571
Provider Enumeration Date:
02/24/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ALVAREZ BERMUDEZ
Authorized Official First Name:
AQUILES
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDIC
Authorized Official Telephone Number:
787-650-1553

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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