Provider Demographics
NPI:1942337423
Name:ALVAREZ, ESTEPHANIE
Entity Type:Individual
Prefix:MRS
First Name:ESTEPHANIE
Middle Name:
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 1:709 CALLE JAZMIN
Mailing Address - Street 2:JAZMIN 709
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-3940
Mailing Address - Country:US
Mailing Address - Phone:787-893-3841
Mailing Address - Fax:
Practice Address - Street 1:709 CALLE JAZMIN
Practice Address - Street 2:VALLES DE YABUCOA
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-3940
Practice Address - Country:US
Practice Address - Phone:787-893-3841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2431183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2431OtherPHARMACIST ASSISTANT