Provider Demographics
NPI:1124548961
Name:ALVARADO, YADIRA DEL CARMEN (SPL)
Entity Type:Individual
Prefix:MISS
First Name:YADIRA
Middle Name:DEL CARMEN
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:SPL
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 588
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-0588
Mailing Address - Country:US
Mailing Address - Phone:787-450-5970
Mailing Address - Fax:
Practice Address - Street 1:D19 AVE CRISALIDA
Practice Address - Street 2:URB TORREMOLINOS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-450-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1007235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty