Individual
ILEANA ALVAREZ VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER SUPV
Contact information
Practice address
4385 W 16TH AVE, HIALEAH, FL 33012-7628
(305) 824-0637
(305) 824-0628
Mailing address
4385 W 16TH AVE, HIALEAH, FL 33012-7628
(305) 824-0637
(305) 824-0628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024264800
—
FL
Enumeration date
02/20/2020
Last updated
02/20/2020
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