Altralis

Organization Active NPI General Practice Physician · Arecibo, PR

NPI 1275427973 · NPPES record last updated Jul 29, 2025

Key facts

NPI
1275427973
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
ALTRALIS
Practice address
312 Ave Jose de Diego Ste 103
Arecibo, PR 00612-4586
Phone
(305) 498-3933
NPI assigned
Jun 6, 2025
Organization subpart
No

Authorized official

Name
Dr. Dennis Miraglia, M.D.
Title
President
Phone
(787) 727-1000

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250730000371 PR Part B Supplier - Clinic/Group Practice 2264949627 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

Locations

312 Ave Jose de Diego
Ste 103
Arecibo, PR 00612
Phone (305) 342-6625

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

312 Ave Jose de Diego Ste 103
Arecibo, PR 00612-4586

Mailing address

312 Ave Jose de Diego Ste 103
Arecibo, PR 00612-4586
Phone (787) 727-1000

Other providers in Arecibo, PR

All providers in Arecibo, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.