Provider Demographics
NPI:1922106020
Name:ALVAREZ, LILLIAM (TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:LILLIAM
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H12 CALLE A
Mailing Address - Street 2:URB LOS ANGELES
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-3216
Mailing Address - Country:US
Mailing Address - Phone:787-893-3393
Mailing Address - Fax:
Practice Address - Street 1:A8 CALLE 1
Practice Address - Street 2:URB JARDINES DE YABUCOA
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767
Practice Address - Country:US
Practice Address - Phone:787-893-6709
Practice Address - Fax:787-266-6505
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR734183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR734OtherTECHNICIAN