Healthcare Provider Details

I. General information

NPI: 1346258530
Provider Name (Legal Business Name): NORMA IVELISSE ALVARADO-RIVERA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2206 CALLE JILGUERO BRISAS DEL PRADO
SANTA ISABEL PR
00757-2578
US

IV. Provider business mailing address

2206 CALLE JILGUERO BRISAS DEL PRADO
SANTA ISABEL PR
00757-2578
US

V. Phone/Fax

Practice location:
  • Phone: 787-616-2442
  • Fax: 787-845-4544
Mailing address:
  • Phone: 787-616-2442
  • Fax: 787-845-4544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number025069
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: