Provider Demographics
NPI:1194960930
Name:HEALTH AND ALTERNATIVE MEDICINE GROUP
Entity type:Organization
Organization Name:HEALTH AND ALTERNATIVE MEDICINE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-868-5455
Mailing Address - Street 1:P.O. BOX 998
Mailing Address - Street 2:
Mailing Address - City:AQUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602
Mailing Address - Country:US
Mailing Address - Phone:787-868-5455
Mailing Address - Fax:787-868-5455
Practice Address - Street 1:CALLE COLON #93
Practice Address - Street 2:AVE. ROTARIO 1-A
Practice Address - City:AQUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-868-5455
Practice Address - Fax:787-868-5455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR830171100000X
PR8159261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty