Provider Demographics
NPI:1386861334
Name:ALVAREZ, SONIA (LND)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 CALLE 34 SW
Mailing Address - Street 2:URB. CAPARRA TERRACE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2529
Mailing Address - Country:US
Mailing Address - Phone:787-462-9767
Mailing Address - Fax:
Practice Address - Street 1:1310 CALLE 34 SW
Practice Address - Street 2:URB. CAPARRA TERRACE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2529
Practice Address - Country:US
Practice Address - Phone:787-462-9767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1405133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist