Individual
PROVIMELY ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PLAZA GURABO, CARR 189, GURABO, PR 00778
(787) 861-7777
Mailing address
PO BOX 3504, JUNCOS, PR 00777-6504
(787) 676-7020
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17241
PR
Other
Enumeration date
07/23/2008
Last updated
10/20/2020
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