Provider Demographics
NPI:1467580704
Name:ALVAREZ, YAIRIS (OTRL)
Entity Type:Individual
Prefix:MS
First Name:YAIRIS
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 W 52ND ST APT 405
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4079
Mailing Address - Country:US
Mailing Address - Phone:305-450-7959
Mailing Address - Fax:
Practice Address - Street 1:2775 W 52ND ST APT 405
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4079
Practice Address - Country:US
Practice Address - Phone:305-450-7959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10820225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist