Healthcare Provider Details
I. General information
NPI: 1871384677
Provider Name (Legal Business Name): ALIVIO PAIN CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 AVE FD ROOSEVELT STE 301
SAN JUAN PR
00918-2162
US
IV. Provider business mailing address
18 CALLE TAFT APT 2N
SAN JUAN PR
00911-1221
US
V. Phone/Fax
- Phone: 787-756-8418
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CARLOS
E
TRIGO POU
Title or Position: PRESIDENT
Credential: MD
Phone: 787-296-8888