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NPI Code Detail

MEDICARE: CHARISMA DAVENE ALVAREZ

MEDICARE: CHARISMA DAVENE ALVAREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1215797386
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARISMA DAVENE ALVAREZ
Provider Business Mailing Address
First Line : PO BOX 405
Second Line :
City : SAN MIGUEL
State : NM
Zip : 88058-0405
Country : US
Telephone Number : 575-323-1315
Fax Number : 833-524-5203
Provider Business Practice Location Address
First Line : 125 S MAIN ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1270
Country : US
Telephone Number : 575-323-1315
Fax Number : 833-524-5203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 03/19/2024

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Directions to “ CHARISMA DAVENE ALVAREZ ” Practice Location

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