Provider Demographics
NPI:1932963808
Name:PEREZ ALVAREZ, HILDA MARIA
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:MARIA
Last Name:PEREZ ALVAREZ
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 1:7140 SPOONFOOT ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-5811
Mailing Address - Country:US
Mailing Address - Phone:786-365-5181
Mailing Address - Fax:
Practice Address - Street 1:7140 SPOONFOOT ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5811
Practice Address - Country:US
Practice Address - Phone:786-365-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty