# ISLAND MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104254150
- **Authorized official:** DR. ARCILIO ALVARADO (PRESIDENT)
- **Authorized official phone:** (787) 306-8356

## Contact information

- **Practice address:** CALLE MARGINAL, E7, BAYAMON, PR 00957-2536
- **Practice address phone:** (787) 306-8356
- **Mailing address:** PO BOX 16327, SAN JUAN, PR 00908-6327
- **Mailing address phone:** (787) 306-8356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013