Provider Demographics
NPI:1467791822
Name:ALLIANZE MEDICAL SERVICES, PSC
Entity Type:Organization
Organization Name:ALLIANZE MEDICAL SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:U
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-397-8809
Mailing Address - Street 1:PO BOX 192113
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-2113
Mailing Address - Country:US
Mailing Address - Phone:787-397-8809
Mailing Address - Fax:787-789-4497
Practice Address - Street 1:MARAMAR PLAZA STE 1250
Practice Address - Street 2:101 SAN PATRICIO AVE
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-781-4546
Practice Address - Fax:787-789-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10188207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR639980Medicare UPIN