Provider Demographics
NPI:1023465796
Name:ALTIV GROUP INC
Entity type:Organization
Organization Name:ALTIV GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALTINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-498-2943
Mailing Address - Street 1:1110 BRICKELL AVE STE 430K-100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3132
Mailing Address - Country:US
Mailing Address - Phone:305-498-2943
Mailing Address - Fax:786-504-9746
Practice Address - Street 1:1110 BRICKELL AVE STE 430K-100
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3132
Practice Address - Country:US
Practice Address - Phone:305-498-2943
Practice Address - Fax:786-504-9746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies