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General NPI Number Information
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NPI Number | 1801929955
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Entity Type | Organization
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Legal Business Name | ALVA HEALTH & MEDICAL SUPPLIES
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 65 DE INFANTERIA #19
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City | LAJAS
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State | PR
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Zip | 00667-0128
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Country | US
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Telephone | 787-808-0866
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Fax | 787-808-0866
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | LAJAS
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State | PR
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Zip | 00667-0128
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Country | US
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Telephone | 787-808-0866
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Fax | 787-808-0866
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Authorized Official
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Title or Position | OWNER
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Name | WILFREDO VELEZ
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Credential |
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Telephone | 787-808-0866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4683920001
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License Number State | PR
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