MEDICARE: JENNY R 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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1568315562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY R ALVAREZ

Provider Business Mailing Address
First Line	:	16 BEACON ST
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-2070
Country	:	US
Telephone Number	:	978-390-5695
Fax Number	:

Provider Business Practice Location Address
First Line	:	594 COLUMBIA RD
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02125-3436
Country	:	US
Telephone Number	:	617-963-4133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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