Healthcare Provider Details

I. General information

NPI: 1457805145
Provider Name (Legal Business Name): MIGUEL GERARDO ALVERIO M.PSY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 CALLE BALDORIOTY
VEGA BAJA PR
00693-4359
US

IV. Provider business mailing address

PO BOX 1448
VEGA BAJA PR
00694-1448
US

V. Phone/Fax

Practice location:
  • Phone: 787-858-2214
  • Fax:
Mailing address:
  • Phone: 787-478-7568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5640
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: