MEDICARE: AS SPECIALISTS & CONSULTINGS GROUPS CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist
2	103TH0100X	Health Service Psychologist
3	103TR0400X	Rehabilitation Psychologist
4	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1457218893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AS SPECIALISTS & CONSULTINGS GROUPS CORP

Provider Business Mailing Address
First Line	:	AVE. DOMENECH
Second Line	:	EDIF. DOMENECH 207, SUITE 104
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE. DOMENECH
Second Line	:	EDIF. DOMENECH 207, SUITE 104
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:	787-458-8209
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALFRED A SOLER SANTOS
Credential	:	PHD
Telephone Number	:	787-458-8209

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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