Healthcare Provider Details

I. General information

NPI: 1407804438
Provider Name (Legal Business Name): NILKA Y. ALVAREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CAMINO LOS BAEZ COND. EL BOSQUE APT. 611
GUAYNABO PR
00971-9633
US

IV. Provider business mailing address

13 CAMINO LOS BAEZ COND. EL BOSQUEAPT. 611
GUAYNABO PR
00971-9633
US

V. Phone/Fax

Practice location:
  • Phone: 787-251-2508
  • Fax:
Mailing address:
  • Phone: 787-251-2508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number11013
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: