Provider Demographics
NPI:1073610333
Name:ALVAREZ, NILDA J (MD)
Entity Type:Individual
Prefix:MRS
First Name:NILDA
Middle Name:J
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2434
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2434
Mailing Address - Country:US
Mailing Address - Phone:787-312-5009
Mailing Address - Fax:787-271-0671
Practice Address - Street 1:URB JARDINES LAFAYETTE
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714
Practice Address - Country:US
Practice Address - Phone:787-839-4720
Practice Address - Fax:787-271-0671
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6278208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0027852Medicare ID - Type UnspecifiedPROVIDER ID