Individual provider · NPI-1

Alan Alcantara

Student in an Organized Health Care Education/Training Program · Bayamon, PR

NPI number1104591460
StatusActive
Last updated in NPPESAug 10, 2021

Details

NPI
1104591460
Entity type
Individual (NPI-1)
Name
Alan Alcantara
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 10, 2021
Certification date
Jul 15, 2021
Last updated
Aug 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

100 Ave Laurel
Bayamon, PR 00956-4816

Phone 787-787-5151

Mailing address

13051 Sw 88th Ln Apt 105a
Miami, FL 33186-1607

Phone 305-951-2707

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