Provider Demographics
NPI:1639529381
Name:SALAZAR ALVAREZ, LEIDIS
Entity type:Individual
Prefix:
First Name:LEIDIS
Middle Name:
Last Name:SALAZAR ALVAREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14517 SW 23RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6389
Mailing Address - Country:US
Mailing Address - Phone:786-612-5070
Mailing Address - Fax:
Practice Address - Street 1:14517 SW 23RD TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6389
Practice Address - Country:US
Practice Address - Phone:786-612-5070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst