Healthcare Provider Details

I. General information

NPI: 1821926536
Provider Name (Legal Business Name): AIMEE MARIT ALVARADO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 CALLE DAMAS SAN JORGE PROFESSIONAL BLDG STE 101
PONCE PR
00717
US

IV. Provider business mailing address

PO BOX 122
COAMO PR
00769-0122
US

V. Phone/Fax

Practice location:
  • Phone: 787-284-5093
  • Fax:
Mailing address:
  • Phone: 787-595-0348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10397
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: