Provider Demographics
NPI:1467281980
Name:MC PAIN AND SPINE CARE INSTITUTE LLC
Entity type:Organization
Organization Name:MC PAIN AND SPINE CARE INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:I
Authorized Official - Last Name:SEPULVEDA ALAMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-285-1336
Mailing Address - Street 1:TORRE HOSPITAL METROPOLITANO SUITE 401
Mailing Address - Street 2:1785 AVE LAS LOMAS CARR 21
Mailing Address - City:SANJUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-3399
Mailing Address - Country:US
Mailing Address - Phone:787-285-1366
Mailing Address - Fax:833-901-2937
Practice Address - Street 1:TORRE HOSPITAL METROPOLITANO SUITE 401
Practice Address - Street 2:1785 AVE LAS LOMAS CARR 21
Practice Address - City:SANJUAN
Practice Address - State:PR
Practice Address - Zip Code:00922-3399
Practice Address - Country:US
Practice Address - Phone:787-285-1366
Practice Address - Fax:833-901-2937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty