Provider Demographics
NPI:1750124228
Name:ALLIANCE NETWORK INC.
Entity type:Organization
Organization Name:ALLIANCE NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:JAMPIER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGRAN LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-616-1866
Mailing Address - Street 1:ESCORIAL BUILDING ONE 1400, AVE. DE DIEGO SUITE 100
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:727-773-1815
Mailing Address - Fax:787-773-1815
Practice Address - Street 1:ESCORIAL BUILDING ONE 1400, AVE. DE DIEGO SUITE 100
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:727-773-1815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization