Organization
OUTPATIENT ALTERNATIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER SOSA MD (MEDICAL DIRECTOR/ VICE-PRESIDENT)
(787) 831-0266
Entity
Organization
Contact information
Practice address
15 CALLE LUIS FELIPE DEJESUS, JUANA DIAZ, PR 00795-1501
(787) 832-0653
Mailing address
MAYGUEZ MALL, MAYAGUEZ, PR 00680-1251
(787) 832-0653
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
14191
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22237
MEDICARE PROVIDER NUMBER
PR
Enumeration date
01/16/2008
Last updated
01/16/2008
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