Provider Demographics
NPI:1508433343
Name:ALVAREZ LAMELA, NESTOR ANDRES (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:ANDRES
Last Name:ALVAREZ LAMELA
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2546
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-9546
Mailing Address - Country:US
Mailing Address - Phone:787-600-9945
Mailing Address - Fax:
Practice Address - Street 1:MOCA MEDICAL PLAZA SUITE 211, CARR 110 INT 125
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-600-9945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34191223P0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program