Provider Demographics
NPI:1194055053
Name:MANAGEMENT INTEGRATED SOLUTIONS
Entity type:Organization
Organization Name:MANAGEMENT INTEGRATED SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARCILIO
Authorized Official - Middle Name:ALVARADO
Authorized Official - Last Name:ROSAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-306-8356
Mailing Address - Street 1:PO BOX 16804
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-6804
Mailing Address - Country:US
Mailing Address - Phone:787-289-7814
Mailing Address - Fax:
Practice Address - Street 1:27 CALLE ANTONIO ALCAZAR
Practice Address - Street 2:
Practice Address - City:FLORIDA
Practice Address - State:PR
Practice Address - Zip Code:00650-1913
Practice Address - Country:US
Practice Address - Phone:787-822-2302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALA EMERGENCIA FLORIDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care