Healthcare Provider Details

I. General information

NPI: 1063785590
Provider Name (Legal Business Name): ALPHA MEDICAL TESTING AND CARE, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 874, PARCELA 474, BO LA CENTRAL
CANOVANAS PR
00729
US

IV. Provider business mailing address

CARR 874, PARCELA 474, BO LA CENTRAL
CANOVANAS PR
00729
US

V. Phone/Fax

Practice location:
  • Phone: 787-602-3057
  • Fax: 787-957-0995
Mailing address:
  • Phone: 787-957-0991
  • Fax: 787-957-0995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERESA OROZCO ALVAREZ
Title or Position: DIRECTOR
Credential:
Phone: 787-463-7922