Provider Demographics
NPI:1831772979
Name:ALVAREZ-GUTIERREZ, SUE H
Entity type:Individual
Prefix:
First Name:SUE
Middle Name:H
Last Name:ALVAREZ-GUTIERREZ
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:I PALACIOS DEL ESCORIAL
Mailing Address - Street 2:APT 1-70
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-373-1978
Mailing Address - Fax:
Practice Address - Street 1:I PALACIOS DEL ESCORIAL
Practice Address - Street 2:APT 1-70
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-373-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR68251835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4388937OtherDRIVER LICENSE