Provider Demographics
NPI:1801584404
Name:ALVAREZ, JORGE LUIS SR (LMT)
Entity type:Individual
Prefix:MR
First Name:JORGE
Middle Name:LUIS
Last Name:ALVAREZ
Suffix:SR
Gender:M
Credentials:LMT
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Mailing Address - Street 1:113 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-1034
Mailing Address - Country:US
Mailing Address - Phone:973-510-4757
Mailing Address - Fax:
Practice Address - Street 1:506 HAMBURG TPKE STE 202
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2069
Practice Address - Country:US
Practice Address - Phone:973-595-1809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist