Provider Demographics
NPI:1073222543
Name:ALIANZA DE CENTROS DE SALUD COMUNITARIA MA, INC
Entity Type:Organization
Organization Name:ALIANZA DE CENTROS DE SALUD COMUNITARIA MA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS DE ALBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-705-6550
Mailing Address - Street 1:PMB 318 #35
Mailing Address - Street 2:JUAN C BORBON SUITE 67
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-0000
Mailing Address - Country:US
Mailing Address - Phone:787-705-6550
Mailing Address - Fax:
Practice Address - Street 1:METRO OFFICE PARK
Practice Address - Street 2:EDIFICIO VALENCIA I SUITE 410
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-0000
Practice Address - Country:US
Practice Address - Phone:787-705-6550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No291U00000XLaboratoriesClinical Medical Laboratory
No3336C0002XSuppliersPharmacyClinic PharmacyGroup - Multi-Specialty