Organization
SERVICIOS MEDICOS DEL NORESTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS R ALVARADO M.D. (RESIDENT)
(787) 863-4058
Entity
Organization
Contact information
Practice address
410 AVE GENERAL VALERO, SUITE 307, FAJARDO, PR 00738-3949
(787) 863-4058
(787) 801-7344
Mailing address
410 AVE GENERAL VALERO, SUITE 307, FAJARDO, PR 00738-3949
(787) 863-4058
(787) 801-7344
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
12274
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332606
PROFESSIONAL CORPORATION REGISTRATION NUMBER
PR
Enumeration date
02/15/2014
Last updated
02/15/2014
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