# ISLAND MEDICAL GROUP

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

## Provider details

- **NPI number:** 1336352483
- **Authorized official:** DR. ARCILIO ALVARADO ROSAS M.D. (PRESIDENT)
- **Authorized official phone:** (787) 306-8356

## Contact information

- **Practice address:** AVENIDA LA CONSTITUCION \#530, SUITE 350, SAN JUAN, PR 00901
- **Practice address phone:** (787) 279-7512
- **Practice address fax:** (787) 279-7512
- **Mailing address:** PO BOX 194000, PMB 279, SAN JUAN, PR 00919
- **Mailing address phone:** (787) 279-7512
- **Mailing address fax:** (787) 279-7512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 32CNC04-328PR | PR | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020