Provider Demographics
NPI:1447734819
Name:NEW MEDICAL ALLIANCE CORPORATION
Entity type:Organization
Organization Name:NEW MEDICAL ALLIANCE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:VILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-843-3089
Mailing Address - Street 1:18 CALLE BERTOLY
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-3162
Mailing Address - Country:US
Mailing Address - Phone:787-843-3089
Mailing Address - Fax:787-984-2300
Practice Address - Street 1:18 CALLE BERTOLY
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3162
Practice Address - Country:US
Practice Address - Phone:787-843-3089
Practice Address - Fax:787-984-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1780088070OtherNPI