Provider Demographics
NPI:1942786884
Name:ALVEOLI RESPIRATORY SERVICES
Entity Type:Organization
Organization Name:ALVEOLI RESPIRATORY SERVICES
Other - Org Name:ALVEOLI RESPIRATORY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:RESPIRATORY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:787-800-8903
Mailing Address - Street 1:PO BOX 5000
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-9800
Mailing Address - Country:US
Mailing Address - Phone:787-800-8903
Mailing Address - Fax:
Practice Address - Street 1:URB EL REAL
Practice Address - Street 2:191 CALLE MANSIONES
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-800-8903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2019-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18632279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral CareGroup - Single Specialty