Provider Demographics
NPI:1255573457
Name:HEALTH AND ALTERNATIVE MEDICINE GROUP
Entity type:Organization
Organization Name:HEALTH AND ALTERNATIVE MEDICINE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DUENO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-252-3030
Mailing Address - Street 1:HC 3 BOX 39601
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9794
Mailing Address - Country:US
Mailing Address - Phone:787-252-3030
Mailing Address - Fax:787-252-3030
Practice Address - Street 1:AVE ROTARIO1A
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9601
Practice Address - Country:US
Practice Address - Phone:787-252-3030
Practice Address - Fax:787-252-3030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SONIA CRUZ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8234171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty