Provider Demographics
NPI:1528579380
Name:ALVAREZ RODRIGUEZ, ALINA D
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:D
Last Name:ALVAREZ RODRIGUEZ
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 1:8005 SW 107TH AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4841
Mailing Address - Country:US
Mailing Address - Phone:305-588-0719
Mailing Address - Fax:
Practice Address - Street 1:8005 SW 107TH AVE APT 301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4841
Practice Address - Country:US
Practice Address - Phone:305-588-0719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician