Provider Demographics
NPI:1205154481
Name:ALVAREZ ROSARIO, AUDELIS (MSW)
Entity type:Individual
Prefix:MRS
First Name:AUDELIS
Middle Name:
Last Name:ALVAREZ ROSARIO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1366
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-1366
Mailing Address - Country:US
Mailing Address - Phone:787-225-0695
Mailing Address - Fax:
Practice Address - Street 1:CARR 109 KM 5.7 INTERIOR BO.ESPINO
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-225-0695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR101331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical