Provider Demographics
NPI:1053626788
Name:ALLIANCE COMMUNITY HEALTH SERVICES, PSC
Entity Type:Organization
Organization Name:ALLIANCE COMMUNITY HEALTH SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ALFREDO
Authorized Official - Last Name:ALVAREZ-ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-849-3055
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-0099
Mailing Address - Country:US
Mailing Address - Phone:787-849-3055
Mailing Address - Fax:787-849-0031
Practice Address - Street 1:26 CALLE GENERAL DUVERGE
Practice Address - Street 2:
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-1735
Practice Address - Country:US
Practice Address - Phone:787-849-3055
Practice Address - Fax:787-849-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16662208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty