Provider Demographics
NPI:1235393372
Name:RCJ ALTERNATIVE MEDICINE SERVICES INC.
Entity Type:Organization
Organization Name:RCJ ALTERNATIVE MEDICINE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:AVILES
Authorized Official - Suffix:I
Authorized Official - Credentials:CONTABLE
Authorized Official - Phone:787-603-5639
Mailing Address - Street 1:STREET 25 TO URB. RIO VERDE
Mailing Address - Street 2:# ZZ 50
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-603-5639
Mailing Address - Fax:
Practice Address - Street 1:STREET 25 TO URB. RIO VERDE
Practice Address - Street 2:# ZZ 50
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-603-5639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4195002341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========Medicare PIN
PR=========Medicare PIN