Provider Demographics
NPI:1295200715
Name:ALVAREZ MELENDEZ, MILTON
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:
Last Name:ALVAREZ MELENDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 E 6TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4870
Mailing Address - Country:US
Mailing Address - Phone:786-901-2847
Mailing Address - Fax:
Practice Address - Street 1:180 E 6TH ST APT 5
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4870
Practice Address - Country:US
Practice Address - Phone:786-901-2847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker