Healthcare Provider Details

I. General information

NPI: 1750394052
Provider Name (Legal Business Name): VLADIMIR E ALGARIN ALGARIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IGNACIO ARZUAGA STREET 5-E
CAROLINA PUERTO RICO
00985
UM

IV. Provider business mailing address

STREET ARZUAGA
CAROLINA PR
00985
US

V. Phone/Fax

Practice location:
  • Phone: 787-466-3571
  • Fax:
Mailing address:
  • Phone: 787-466-3571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number15824
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: