Provider Demographics
NPI:1184336059
Name:SARAEL, HUDSON ALVARO (REGISTERED NURSE)
Entity type:Individual
Prefix:MR
First Name:HUDSON
Middle Name:ALVARO
Last Name:SARAEL
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:MR
Other - First Name:ALVARO HUDSON
Other - Middle Name:ORAIS
Other - Last Name:SARAEL
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:135 SHORELINE CIR APT 361
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-5516
Mailing Address - Country:US
Mailing Address - Phone:346-253-5855
Mailing Address - Fax:
Practice Address - Street 1:135 SHORELINE CIR APT 361
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-5516
Practice Address - Country:US
Practice Address - Phone:346-253-5855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95167043163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse