Provider Demographics
NPI:1326590605
Name:MARIA ELENA ALVAREZ
Entity Type:Organization
Organization Name:MARIA ELENA ALVAREZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TARGETED CASE MANAGEMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:407-350-8482
Mailing Address - Street 1:2063 SHANNON LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-3647
Mailing Address - Country:US
Mailing Address - Phone:407-350-8482
Mailing Address - Fax:
Practice Address - Street 1:2063 SHANNON LAKES BLVD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-3647
Practice Address - Country:US
Practice Address - Phone:407-350-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management