Healthcare Provider Details

I. General information

NPI: 1619377660
Provider Name (Legal Business Name): ASISTENCIA DORADA HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MARGINAL E-7 SANTA ROSA
BAYAMON PR
00957-2536
US

IV. Provider business mailing address

CALLE MARGINAL E-7 SANTA ROSA
BAYAMON PR
00957-2536
US

V. Phone/Fax

Practice location:
  • Phone: 787-306-8356
  • Fax: 787-289-8715
Mailing address:
  • Phone: 787-306-8356
  • Fax: 787-289-8715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ARCILIO ALVARADO
Title or Position: OWNER
Credential:
Phone: 787-306-8356