Individual
EDNA DAVID ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PASEOS DE JACARANDA, G67 MAGA, SANTA ISABEL, PR 00757-9629
(787) 205-7268
Mailing address
HC 4 BOX 5862, COAMO, PR 00769-9674
(787) 205-7268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14982
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4563647
DRIVERS LICENSE
PR
Enumeration date
03/20/2020
Last updated
03/20/2020
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