Provider Demographics
NPI:1326042862
Name:ALIANZA MEDICA DEL CARIBE
Entity Type:Organization
Organization Name:ALIANZA MEDICA DEL CARIBE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARIZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-764-7166
Mailing Address - Street 1:1353 CARR 19
Mailing Address - Street 2:PMB #318
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2715
Mailing Address - Country:US
Mailing Address - Phone:787-764-7166
Mailing Address - Fax:787-764-4918
Practice Address - Street 1:TORRE DE PLAZA LAS AMERICAS
Practice Address - Street 2:SUITE 601
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-764-7166
Practice Address - Fax:787-764-4918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13016261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDM129759OtherSTATE NARCOTICS LICENSE
PRDM129759OtherSTATE NARCOTICS LICENSE
PRDM129759OtherSTATE NARCOTICS LICENSE
PRBA6374677OtherDEA LICENSE