Provider Demographics
NPI:1184513210
Name:CENTENO-ALVARADO, NADIA M
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:M
Last Name:CENTENO-ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NADIA
Other - Middle Name:M
Other - Last Name:CENTENO-ALVARADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-0216
Mailing Address - Country:US
Mailing Address - Phone:787-205-7845
Mailing Address - Fax:
Practice Address - Street 1:53 CALLE BARCELO
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-1735
Practice Address - Country:US
Practice Address - Phone:787-869-5900
Practice Address - Fax:787-869-6120
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR52091171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach