Provider Demographics
NPI:1336473750
Name:ALVES, DINIZ (MA)
Entity Type:Individual
Prefix:
First Name:DINIZ
Middle Name:
Last Name:ALVES
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LAFIELD ST
Mailing Address - Street 2:1
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-1208
Mailing Address - Country:US
Mailing Address - Phone:617-224-3285
Mailing Address - Fax:
Practice Address - Street 1:6 LAFIELD ST
Practice Address - Street 2:1
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-1208
Practice Address - Country:US
Practice Address - Phone:617-224-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical