Provider Demographics
NPI:1588237333
Name:ALPHAPROMED, LLC
Entity Type:Organization
Organization Name:ALPHAPROMED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-439-9638
Mailing Address - Street 1:6201 JOHNS RD STE 9
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-4434
Mailing Address - Country:US
Mailing Address - Phone:813-439-9638
Mailing Address - Fax:
Practice Address - Street 1:301 HARBOUR PLACE DR UNIT 1204
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-6799
Practice Address - Country:US
Practice Address - Phone:813-439-9638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service