Healthcare Provider Details

I. General information

NPI: 1760933659
Provider Name (Legal Business Name): ISLAND HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2016
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

J11 CALLE ELLIOT VELEZ ESQ HERNANDEZ CARRION
MANATI PR
00674-4616
US

IV. Provider business mailing address

PO BOX 16804
SAN JUAN PR
00908-6804
US

V. Phone/Fax

Practice location:
  • Phone: 787-306-8356
  • Fax: 787-283-8715
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: PRESIDENT
Credential: M.D.
Phone: 787-306-8356