Healthcare Provider Details

I. General information

NPI: 1326362831
Provider Name (Legal Business Name): MEDICAL DOCTORS WITH ALTERNATIVE THERAPIES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 10/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 CAMPO RICO AVENUE COUNTRY CLUB
SAN JUAN PR
00924-2580
US

IV. Provider business mailing address

877 CAMPO RICO AVENUE COUNTRY CLUB
SAN JUAN PR
00924-2580
US

V. Phone/Fax

Practice location:
  • Phone: 787-701-4790
  • Fax: 787-701-4790
Mailing address:
  • Phone: 787-701-4790
  • Fax: 787-701-4790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCISCO E MURCIA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-701-4937