Organization
OPCION DE VIDA ' TU ALTERNATIVA' INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA ALEJANDRA RIVERA RIOS LPN (PRACTICE NURSE)
(787) 364-1716
Entity
Organization
Contact information
Practice address
437 CALLE FRATERNIDAD, BARRIADA OBRERA, FAJARDO, PR 00738-4526
(787) 364-1716
Mailing address
437 CALLE FRATERNIDAD, BDA. OBRERA, FAJARDO, PR 00738-4526
(787) 526-0680
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
341545
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341545
CORPORATION NUMBER
PR
05
—
341545
—
PR
01
—
CLP 30010237
POLICY NUMBER
PR
01
—
CLP30010237
PROGGRSSIVE, POLIZA DEL SEGURO DEL ESTADO, SEGURO CHOFERIL
PR
Enumeration date
10/30/2014
Last updated
10/30/2014
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