Provider Demographics
NPI:1063785590
Name:ALPHA MEDICAL TESTING AND CARE, PSC
Entity type:Organization
Organization Name:ALPHA MEDICAL TESTING AND CARE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-463-7922
Mailing Address - Street 1:CARR 874, PARCELA 474,
Mailing Address - Street 2:BO LA CENTRAL
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-957-0991
Mailing Address - Fax:787-957-0995
Practice Address - Street 1:CARR 874, PARCELA 474,
Practice Address - Street 2:BO LA CENTRAL
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-602-3057
Practice Address - Fax:787-957-0995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service