Provider Demographics
NPI:1629883814
Name:ALVIDREZ MARTINEZ, BLANCA TERESA
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:TERESA
Last Name:ALVIDREZ MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BLANCA
Other - Middle Name:
Other - Last Name:ALVIDREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8900 LILLY DR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-7926
Mailing Address - Country:US
Mailing Address - Phone:720-249-6789
Mailing Address - Fax:
Practice Address - Street 1:8900 LILLY DR
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-7926
Practice Address - Country:US
Practice Address - Phone:720-470-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter