Provider Demographics
NPI:1467088039
Name:ALVAREZ HERNANDEZ, ALVA
Entity Type:Individual
Prefix:
First Name:ALVA
Middle Name:
Last Name:ALVAREZ HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 E 8TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-2020
Mailing Address - Country:US
Mailing Address - Phone:786-262-8867
Mailing Address - Fax:
Practice Address - Street 1:4870 E 8TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-2020
Practice Address - Country:US
Practice Address - Phone:786-262-8867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst