Organization
SUPRALVA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M ALVAREZ MD (PSYCHIATRIST PRESIDENT)
(787) 402-2251
Entity
Organization
Contact information
Practice address
PONCE DE LEON AVE #728, SUITE 5, SAN JUAN, PR 00919-1000
(787) 754-9720
(787) 767-6743
Mailing address
PO BOX 9655, SAN JUAN, PR 00908-0655
(787) 402-2251
(787) 767-6743
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10166
PR
Other
Enumeration date
11/20/2006
Last updated
12/13/2010
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