Provider Demographics
NPI:1164543971
Name:GALLEGOS-ALVAREZ, MARIA A (CRNFA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:GALLEGOS-ALVAREZ
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SAMANTHA WAY
Mailing Address - Street 2:
Mailing Address - City:SPOTSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08884-1082
Mailing Address - Country:US
Mailing Address - Phone:732-309-2332
Mailing Address - Fax:732-416-1614
Practice Address - Street 1:18 SAMANTHA WAY
Practice Address - Street 2:
Practice Address - City:SPOTSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08884-1082
Practice Address - Country:US
Practice Address - Phone:732-309-2332
Practice Address - Fax:732-416-1614
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO08422000163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant