Provider Demographics
NPI:1639266471
Name:ALVAREZ, NEREIDA LOURDES (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEREIDA
Middle Name:LOURDES
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 364604
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4604
Mailing Address - Country:US
Mailing Address - Phone:787-720-2125
Mailing Address - Fax:787-790-8659
Practice Address - Street 1:45 ESMERALDA AVENUE
Practice Address - Street 2:MUNOZ RIVERA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-720-2125
Practice Address - Fax:787-790-8659
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR41284OtherSEGUROS SERVICIOS SALUD