Provider Demographics
NPI:1033437959
Name:ALVAREZ, EUGENIA X
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:X
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 SW 96TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5104
Mailing Address - Country:US
Mailing Address - Phone:305-220-8822
Mailing Address - Fax:305-220-8866
Practice Address - Street 1:4041 SW 96TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5104
Practice Address - Country:US
Practice Address - Phone:305-220-8822
Practice Address - Fax:305-220-8866
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT56183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician