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NPI Code Detail

MEDICARE: MIYOLY MICHELLE ALVARADO-ALVAREZ

MEDICARE: MIYOLY MICHELLE ALVARADO-ALVAREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramPSI46155FL

General Provider Information

NPI Number : 1154103877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIYOLY MICHELLE ALVARADO-ALVAREZ
Provider Business Mailing Address
First Line : PO BOX 372576
Second Line :
City : CAYEY
State : PR
Zip : 00737-2576
Country : US
Telephone Number : 787-943-1033
Fax Number :
Provider Business Practice Location Address
First Line : 997 CALLE SAN ROBERTO
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-2759
Country : US
Telephone Number : 787-773-6501
Fax Number : 787-773-6544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 10/17/2023

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Directions to “ MIYOLY MICHELLE ALVARADO-ALVAREZ ” Practice Location

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