Provider Demographics
NPI:1023724291
Name:MUROS ALVAREZ, CARLOS SAUL
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:SAUL
Last Name:MUROS ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 PAJARO ST STE 5
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2905
Mailing Address - Country:US
Mailing Address - Phone:831-905-5540
Mailing Address - Fax:
Practice Address - Street 1:1119 PAJARO ST STE 5
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2905
Practice Address - Country:US
Practice Address - Phone:831-905-5540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67935225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist