Provider Demographics
NPI:1649410176
Name:CONSULTORIO MEDICO DR AQUILES ALVAREZ & ASOCIADOS CSP
Entity Type:Organization
Organization Name:CONSULTORIO MEDICO DR AQUILES ALVAREZ & ASOCIADOS CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDIC
Authorized Official - Prefix:
Authorized Official - First Name:AQUILES
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ BERMUDEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-650-1553
Mailing Address - Street 1:CALLE EMILO CASTELAR
Mailing Address - Street 2:APT 11-B
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-650-1553
Mailing Address - Fax:
Practice Address - Street 1:PLAZA EL JUNCO SUITE #2
Practice Address - Street 2:CARRETERA 651 K.M. 2.5
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-650-1553
Practice Address - Fax:787-817-2571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty