Provider Demographics
NPI:1972782209
Name:ALVAREZ BUILLA, MARISOL CARIDAD
Entity Type:Individual
Prefix:
First Name:MARISOL
Middle Name:CARIDAD
Last Name:ALVAREZ BUILLA
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 1:8940 N KENDALL DR STE 604E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2175
Mailing Address - Country:US
Mailing Address - Phone:305-595-1905
Mailing Address - Fax:305-595-2219
Practice Address - Street 1:8940 N KENDALL DR STE 604E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2175
Practice Address - Country:US
Practice Address - Phone:305-595-1905
Practice Address - Fax:305-595-2219
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist