Provider Demographics
NPI:1477594737
Name:ALVAREZ-VEGA, KAREN G (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:G
Last Name:ALVAREZ-VEGA
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:RR 36 BOX 1390
Mailing Address - Street 2:MSC 182
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9704
Mailing Address - Country:US
Mailing Address - Phone:787-375-8982
Mailing Address - Fax:
Practice Address - Street 1:MANATI PROFESSIONAL BUILDING
Practice Address - Street 2:STE 203 MARGINAL URB FLAMBOYAN
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-3850
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15537208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice