Supralva Corp
NPI #1184798910 in San Juan, Puerto Rico
Provider Information
- NPI Number
- 1184798910
- Entity Type
- Organization
- Organization Name
- Supralva Corp
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Dec 13, 2010
Practice Location
- Address
- PONCE DE LEON AVE #728
- Address 2
- SUITE 5
- City
- San Juan
- State
- Puerto Rico
- ZIP Code
- 00919-1000
- Phone
- (787) 754-9720
Authorized Official
- Name
- CARMEN M ALVAREZ, MD
- Title
- PSYCHIATRIST PRESIDENT
- Phone
- (787) 402-2251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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