Provider Demographics
NPI: | 1922423391 |
---|---|
Name: | ALVAREZ, FLORENCE C |
Entity Type: | Individual |
Prefix: | |
First Name: | FLORENCE |
Middle Name: | C |
Last Name: | ALVAREZ |
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: | 9171 TOWNE CENTRE DR |
Mailing Address - Street 2: | SUITE 215 |
Mailing Address - City: | SAN DIEGO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92122-1234 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 858-812-9962 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 9171 TOWNE CENTRE DR |
Practice Address - Street 2: | SUITE 215 |
Practice Address - City: | SAN DIEGO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92122-1234 |
Practice Address - Country: | US |
Practice Address - Phone: | 858-812-9962 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2014-02-21 |
Last Update Date: | 2014-11-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
101YM0800X | ||
CA | 246082 | 163W00000X, 163WC1500X, 163WA0400X, 163WE0003X, 163WF0300X, 163WH0200X, 163WM0102X, 163WI0500X, 163WX0002X, 163WX0003X, 163WX0106X, 163WP0808X, 163WP0807X, 163WW0101X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No | 163WC1500X | Nursing Service Providers | Registered Nurse | Community Health |
No | 163WA0400X | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) |
No | 163WE0003X | Nursing Service Providers | Registered Nurse | Emergency |
No | 163WF0300X | Nursing Service Providers | Registered Nurse | Flight |
No | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health |
No | 163WM0102X | Nursing Service Providers | Registered Nurse | Maternal Newborn |
No | 163WI0500X | Nursing Service Providers | Registered Nurse | Infusion Therapy |
No | 163WX0002X | Nursing Service Providers | Registered Nurse | Obstetric, High-Risk |
No | 163WX0003X | Nursing Service Providers | Registered Nurse | Obstetric, Inpatient |
No | 163WX0106X | Nursing Service Providers | Registered Nurse | Occupational Health |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |
No | 163WP0807X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent |
No | 163WW0101X | Nursing Service Providers | Registered Nurse | Women's Health Care, Ambulatory |