Healthcare Provider Details

I. General information

NPI: 1407500499
Provider Name (Legal Business Name): HARRY ALVERIO SR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 02/08/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. COUNTRY CLUB GO5 AVE ROBERTO SANCHEZ VILELLA
CAROLINA PR
00982-2678
US

IV. Provider business mailing address

E19 CALLE MALAGA
CAROLINA PR
00983-1507
US

V. Phone/Fax

Practice location:
  • Phone: 787-762-3572
  • Fax:
Mailing address:
  • Phone: 787-762-3572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: HARRY ALVERIO
Title or Position: SOLE OWNER
Credential: MD
Phone: 787-354-8726