Provider Demographics
NPI:1033996970
Name:ALVAREZ, WILLENIE PAOLA
Entity Type:Individual
Prefix:MRS
First Name:WILLENIE
Middle Name:PAOLA
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:CARRETERA #2, KM. 80.4
Mailing Address - Street 2:BARRIO SAN DANIEL, SECTOR LAS CANELAS
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-878-5475
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2, KM. 80.4
Practice Address - Street 2:BARRIO SAN DANIEL, SECTOR LAS CANELAS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-5475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program