Provider Demographics
NPI:1851483424
Name:ALVAREZ, IRMA L (DMD)
Entity Type:Individual
Prefix:MISS
First Name:IRMA
Middle Name:L
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:PO BOX 607071
Mailing Address - Street 2:PMB 287
Mailing Address - City:BAYAMIN
Mailing Address - State:PR
Mailing Address - Zip Code:00960-7071
Mailing Address - Country:US
Mailing Address - Phone:787-798-6456
Mailing Address - Fax:787-798-6456
Practice Address - Street 1:CARR 167 MARGINAL 4
Practice Address - Street 2:SUITE 4 FOREST HILLS
Practice Address - City:BAYAMIN
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-798-6456
Practice Address - Fax:787-798-6456
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPR23051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice