Healthcare Provider Details

I. General information

NPI: 1629305313
Provider Name (Legal Business Name): ISLAND HEALTH CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MARGINAL # E7 SANTA ROSA
BAYAMON PR
00957-2536
US

IV. Provider business mailing address

PO BOX 16804
SAN JUAN PR
00908-6804
US

V. Phone/Fax

Practice location:
  • Phone: 787-786-8947
  • Fax:
Mailing address:
  • Phone: 787-306-8356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARCILIO ALVARADO ROSAS III
Title or Position: PRESIDENT
Credential:
Phone: 787-690-9018