Provider Demographics
NPI:1396428207
Name:ALVELO, IVETTE M
Entity type:Individual
Prefix:
First Name:IVETTE
Middle Name:M
Last Name:ALVELO
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 1:1208 CALLE CARTAGENA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-5138
Mailing Address - Country:US
Mailing Address - Phone:787-462-1968
Mailing Address - Fax:
Practice Address - Street 1:1208 CALLE CARTAGENA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-5138
Practice Address - Country:US
Practice Address - Phone:787-462-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR91393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy