Healthcare Provider Details

I. General information

NPI: 1588115604
Provider Name (Legal Business Name): PABLO ALVAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PABLO ALVAREZ-ROSAS

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 BAYONET CIR
MARINA CA
93933-4600
US

IV. Provider business mailing address

41 E SAN LUIS ST
SALINAS CA
93901-3437
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-4522
  • Fax:
Mailing address:
  • Phone: 831-800-7530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number123290
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number123290
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number85106
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: