Individual
JORGE LUIS ALVAREZ ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(850) 405-6931
Mailing address
14745 STABLE GATE PL UNIT 402, LOUISVILLE, KY 40299-2075
(850) 405-6931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4012134
KY
163W00000X
Registered Nurse
Primary
846125
NY
Other
Enumeration date
08/08/2024
Last updated
01/24/2025
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