Provider Demographics
NPI:1851976120
Name:ALP HEALING TOUCH REJUVENATION LLC
Entity Type:Organization
Organization Name:ALP HEALING TOUCH REJUVENATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:754-308-3406
Mailing Address - Street 1:3041 S.W. 47TH STREET
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-5645
Mailing Address - Country:US
Mailing Address - Phone:754-308-3406
Mailing Address - Fax:954-206-5595
Practice Address - Street 1:3041 S.W. 47TH STREET
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5645
Practice Address - Country:US
Practice Address - Phone:754-308-3406
Practice Address - Fax:954-206-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty