Provider Demographics
NPI:1407804438
Name:ALVAREZ, NILKA Y (MD)
Entity Type:Individual
Prefix:
First Name:NILKA
Middle Name:Y
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CAMINO LOS BAEZ
Mailing Address - Street 2:COND. EL BOSQUEAPT. 611
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9633
Mailing Address - Country:US
Mailing Address - Phone:787-251-2508
Mailing Address - Fax:
Practice Address - Street 1:13 CAMINO LOS BAEZ
Practice Address - Street 2:COND. EL BOSQUE APT. 611
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-9633
Practice Address - Country:US
Practice Address - Phone:787-251-2508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11013208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83258OtherMEDICAL PLAN PROVIDER NUM
PR9790025OtherMEDICAL PLAN PROVIDER NUM