Provider Demographics
NPI:1821687492
Name:ALVAREZ, YOEL
Entity Type:Individual
Prefix:
First Name:YOEL
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 W 16TH AVE APT 504
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4544
Mailing Address - Country:US
Mailing Address - Phone:786-478-8906
Mailing Address - Fax:
Practice Address - Street 1:3001 W 16TH AVE APT 504
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4544
Practice Address - Country:US
Practice Address - Phone:786-478-8906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician