Healthcare Provider Details

I. General information

NPI: 1053293860
Provider Name (Legal Business Name): MRS. LIZ ANNETTE ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO. MONACILLO AVE. LUIS VIGOREAUX #1490 CARR.19
GUAYNABO PR
00966
US

IV. Provider business mailing address

BO. MONACILLO AVE. LUIS VIGOREAUX #1490 CARR.19
GUAYNABO PR
00966
US

V. Phone/Fax

Practice location:
  • Phone: 787-783-2226
  • Fax: 787-783-1325
Mailing address:
  • Phone: 787-783-2226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7908
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: