Healthcare Provider Details

I. General information

NPI: 1942786884
Provider Name (Legal Business Name): ALVEOLI RESPIRATORY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 04/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB EL REAL 191 CALLE MANSIONES
SAN GERMAN PR
00683
US

IV. Provider business mailing address

PO BOX 5000
SAN GERMAN PR
00683-9800
US

V. Phone/Fax

Practice location:
  • Phone: 787-800-8903
  • Fax:
Mailing address:
  • Phone: 787-800-8903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number1863
License Number StatePR

VIII. Authorized Official

Name: MRS. NICOLLE M MORALES
Title or Position: RESPIRATORY THERAPIST
Credential: RT
Phone: 787-800-8903