Provimely Alvarez, M.D.
General Practice in Gurabo, PR. Individual provider (NPI-1).
NPI number1598920175
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1598920175
- Entity type
- Individual (NPI-1)
- Name
- Provimely Alvarez
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2008
- Certification date
- Oct 19, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 17241 | PR | Yes |
Practice location
Plaza GuraboCarr 189
Gurabo, PR 00778
Phone 787-861-7777
Mailing address
Po Box 3504Juncos, PR 00777-6504
Phone 787-676-7020
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