Individual
MELVIN ALVARADO MATOS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BO JACAGUAS, REPARTO BAYOAN CALLE 4 # 44, JUANA DIAZ, PR 00795
(787) 613-5525
Mailing address
HC 3 BOX 15207, JUANA DIAZ, PR 00795-9858
(787) 613-5525
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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