Supralva Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10166 Issued in PR

Legal business name

SUPRALVA CORP

Practice address

Ponce de Leon Ave #728
Suite 5
San Juan, PR 00919-1000

Phone

(787) 754-9720

Fax

(787) 767-6743

NPI assigned

Nov 20, 2006

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen M Alvarez, MD

Title

Psychiatrist President

Phone

(787) 402-2251

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carmen M Alvarez Rondon

  • Psychiatry Physician
  • Guaynabo, PR
  • NPI 1699679910
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen M. Alvarez Rondon, MD.

  • Psychiatry Physician
  • San Juan, PR
  • NPI 1437223260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1184798910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9655",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009080655",
            "telephone_number": "787-402-2251",
            "fax_number": "787-767-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE DE LEON AVE #728",
            "address_2": "SUITE 5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191000",
            "telephone_number": "787-754-9720",
            "fax_number": "787-767-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPRALVA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST PRESIDENT",
        "authorized_official_telephone_number": "787-402-2251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.