Provider Demographics
NPI:1679183818
Name:ALCAMED INC
Entity Type:Organization
Organization Name:ALCAMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLINA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-600-8044
Mailing Address - Street 1:2301 SW 27TH AVE APT 902
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3672
Mailing Address - Country:US
Mailing Address - Phone:305-600-8044
Mailing Address - Fax:
Practice Address - Street 1:2301 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3671
Practice Address - Country:US
Practice Address - Phone:305-600-8044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management