Provider Demographics
NPI:1457805145
Name:ALVERIO, MIGUEL GERARDO (MPSY)
Entity Type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:GERARDO
Last Name:ALVERIO
Suffix:
Gender:M
Credentials:MPSY
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 1448
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-1448
Mailing Address - Country:US
Mailing Address - Phone:787-478-7568
Mailing Address - Fax:
Practice Address - Street 1:67 CALLE BALDORIOTY
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4359
Practice Address - Country:US
Practice Address - Phone:787-858-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2020-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5640103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist