Healthcare Provider Details
I. General information
NPI: 1841857042
Provider Name (Legal Business Name): DANIELA TRINIDAD ALVAREZ ALVAREZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/22/2019
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 ELMWOOD AVE.
ROCHESTER NY
14620
US
IV. Provider business mailing address
4468 HAMMOCKS DRIVE
GENESEO NY
14454
US
V. Phone/Fax
- Phone: 585-275-5051
- Fax:
- Phone: 585-957-3457
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 000100 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 000100 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: