Provider Demographics
NPI:1205517067
Name:ALVAREZ-GONZALEZ, BRUCE MICHAEL (RN)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:MICHAEL
Last Name:ALVAREZ-GONZALEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VILLA DEL PARQUE APT 2D
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-3303
Mailing Address - Country:US
Mailing Address - Phone:787-362-5127
Mailing Address - Fax:
Practice Address - Street 1:2 VILLA DEL PARQUE APT 2D
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-3303
Practice Address - Country:US
Practice Address - Phone:787-362-5127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9637924163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty