Provider Demographics
NPI:1134928484
Name:ALVAREZ-GUTIERREZ, IRMA ELENA (NON - CERTIFIED PEER)
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:ELENA
Last Name:ALVAREZ-GUTIERREZ
Suffix:
Gender:
Credentials:NON - CERTIFIED PEER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-3059
Mailing Address - Country:US
Mailing Address - Phone:916-213-5680
Mailing Address - Fax:
Practice Address - Street 1:7501 SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-3059
Practice Address - Country:US
Practice Address - Phone:916-213-5680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker