Provider Demographics
NPI:1013581180
Name:ALVAREZ ESTARELLAS, RICARDO ANDRES
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:ANDRES
Last Name:ALVAREZ ESTARELLAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:RICARDO
Other - Middle Name:ANDRES
Other - Last Name:ALVAREZ-ESTARELLAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1901 1ST AVE RM 12A1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7494
Mailing Address - Country:US
Mailing Address - Phone:212-423-6058
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE RM 12A1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7494
Practice Address - Country:US
Practice Address - Phone:212-423-6058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program