Provider Demographics
NPI:1508123746
Name:ALVAREZ LOPEZ, RICARDO D SR (DC)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:D
Last Name:ALVAREZ LOPEZ
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RICARDO
Other - Middle Name:D
Other - Last Name:ALVAREZ LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PMB 134 PO BOX 8901
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-8901
Mailing Address - Country:US
Mailing Address - Phone:787-980-9449
Mailing Address - Fax:
Practice Address - Street 1:MARGINAL CARR 2 KM 85.8
Practice Address - Street 2:BO CARRIZALES
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-980-9449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor