Healthcare Provider Details

I. General information

NPI: 1760328165
Provider Name (Legal Business Name): LIZ Y ALVARADO RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 3 BOX 32260
HATILLO PR
00659-7805
US

IV. Provider business mailing address

HC 3 BOX 32260
HATILLO PR
00659-7805
US

V. Phone/Fax

Practice location:
  • Phone: 939-240-0170
  • Fax:
Mailing address:
  • Phone: 939-240-0170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number4883236
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: