Provider Demographics
NPI:1780992172
Name:ALVAREZ, ZORAIDA D (LMT)
Entity type:Individual
Prefix:
First Name:ZORAIDA
Middle Name:D
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4718
Mailing Address - Country:US
Mailing Address - Phone:301-794-0306
Mailing Address - Fax:
Practice Address - Street 1:5500 GLEN AVE
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4718
Practice Address - Country:US
Practice Address - Phone:301-794-0306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA57798174400000X
MDMO4679174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist