Provider Demographics
NPI:1720638653
Name:ALVAREZ COTO, MARIAN D
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:D
Last Name:ALVAREZ COTO
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 1:7945 NW 8TH ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-6100
Mailing Address - Country:US
Mailing Address - Phone:786-306-9968
Mailing Address - Fax:
Practice Address - Street 1:7945 NW 8TH ST UNIT 6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-6100
Practice Address - Country:US
Practice Address - Phone:786-306-9968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty