Provider Demographics
NPI:1073397246
Name:ALVAREZ SANCHEZ, LEIDY L
Entity Type:Individual
Prefix:MS
First Name:LEIDY
Middle Name:L
Last Name:ALVAREZ SANCHEZ
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 1:2211 W 64TH ST APT 105
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6924
Mailing Address - Country:US
Mailing Address - Phone:786-740-0677
Mailing Address - Fax:
Practice Address - Street 1:2211 W 64TH ST APT 105
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-6924
Practice Address - Country:US
Practice Address - Phone:786-740-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician