Provider Demographics
NPI:1396350773
Name:ALVAREZ-DELAROSA, GUISELLE MARIA
Entity type:Individual
Prefix:
First Name:GUISELLE
Middle Name:MARIA
Last Name:ALVAREZ-DELAROSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5547 LEANING OAK AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2080
Mailing Address - Country:US
Mailing Address - Phone:702-443-6664
Mailing Address - Fax:
Practice Address - Street 1:5547 LEANING OAK AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2080
Practice Address - Country:US
Practice Address - Phone:702-443-6664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator