Active NPI
Advantage Health Center LLC
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1154097962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ADVANTAGE HEALTH CENTER LLC
- Practice address
- 15 Luis Munoz Rivera Ave
Paseo Caribe, Suite 1060
San Juan, PR 00901 - Phone
- (888) 900-0073
- Fax
- (787) 289-8715
- NPI assigned
- Aug 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arcilio Alvarado
- Title
- Ceo
- Phone
- (787) 690-9018
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Specialist | 174400000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Gynecology Physician | 207VG0400X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| General Practice Physician | 208D00000X | |||
| Physical Therapist | 225100000X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
15 Luis Munoz Rivera Ave
Paseo Caribe, Suite 1060
San Juan, PR 00901
Mailing address
PO Box 16804
San Juan, PR 00908-6804
Phone (888) 400-0073
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aalvarado@imgpr.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220308000182 | PR | Part B Supplier - Clinic/Group Practice | 7012301013 |
Receives reassigned benefits from 10 practitioners Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
15 Ave Munoz Rivera
Ste 1060
San Juan, PR 00901
Phone (888) 900-0073
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- San Juan, PR
- NPI 1740920149
-
- Physical Therapist
- Bayamon, PR
- NPI 1043043185
-
- Physical Therapist
- San Juan, PR
- NPI 1073275137
-
- General Practice Physician
- Bayamon, PR
- NPI 1679540611
General Practice, PR
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Caguas, PR
- NPI 1972899458
Physical Medicine & Rehabilitation, PR
-
- Physical Therapist
- San Juan, PR
- NPI 1871244392
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1841626967
Internal Medicine, PR
-
- Internal Medicine Physician
- Aguas Buenas, PR
- NPI 1760568463
Internal Medicine, PR
-
- Physical Therapist
- Bayamon, PR
- NPI 1396590758
-
- Physical Medicine & Rehabilitation Physician
- Brighton, MA
- NPI 1790175321
Physical Medicine & Rehabilitation, PR
-
- Physical Therapist
- San Juan, PR
- NPI 1255133641
-
- Physical Medicine & Rehabilitation Physician
- Trujillo Alto, PR
- NPI 1972788735
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637712000000",
"number": "1154097962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16804",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009086804",
"telephone_number": "888-400-0073",
"fax_number": "787-289-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 LUIS MUNOZ RIVERA AVE",
"address_2": "PASEO CARIBE, SUITE 1060",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00901",
"telephone_number": "888-900-0073",
"fax_number": "787-289-8715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE HEALTH CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-20",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A",
"authorized_official_last_name": "ALVARADO",
"authorized_official_first_name": "ARCILIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "787-690-9018"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aalvarado@imgpr.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "15 Luis Munoz Rivera Ave",
"address_2": "Paseo Caribe, Suite 1060",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "00901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Juan, PR
- Advanced Radiology Group
- Advanced Surgical Center PSC
- Advanced Technonuclear Imaging Center Inc
- Advancedermatology and Skin Cancer Center, PSC
- Advancedorthodontics & Dentofacial Orthopedics, Inc.
- Advantage Medical Group
- Advantage Physician Group, LLC
- Advantage Rehab and Wellness Center LLC
- Adventure Therapy, Inc
- Aei Ambulance Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.