Healthcare Provider Details

I. General information

NPI: 1336214246
Provider Name (Legal Business Name): OLGA LYDIA ALVAREZ R.PH., PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 01/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B , D-I-16 MANSIONES DE VILLANOVA
SAN JUAN PR
00926
US

IV. Provider business mailing address

B , D-I-16 MANSIONES DE VILLANOVA
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-720-8355
  • Fax: 787-724-0320
Mailing address:
  • Phone: 787-720-8355
  • Fax: 787-724-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1904
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: