Provider Demographics
NPI:1932445251
Name:ALVAREZ OTERO, AMARILYS (BSHE)
Entity Type:Individual
Prefix:MRS
First Name:AMARILYS
Middle Name:
Last Name:ALVAREZ OTERO
Suffix:
Gender:F
Credentials:BSHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 26 PO BOX 4055
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-4055
Mailing Address - Country:US
Mailing Address - Phone:787-871-0601
Mailing Address - Fax:787-871-3960
Practice Address - Street 1:CARRETERA PRINCIPAL 149
Practice Address - Street 2:PRYMED CIALES
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-0000
Practice Address - Country:US
Practice Address - Phone:787-871-0601
Practice Address - Fax:787-871-3960
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR259174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator