MEDICARE: ODISLAIDA QUINTANA 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	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619575206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ODISLAIDA QUINTANA ALVAREZ

Provider Business Mailing Address
First Line	:	1908 HIGH RIDGE RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6158
Country	:	US
Telephone Number	:	561-633-8637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 HIGH RIDGE RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6158
Country	:	US
Telephone Number	:	561-633-8637
Fax Number	:

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

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	10/15/2020

Similar Medicare Providers

1902404593 — MELISSA MAURA HERNANDEZ
Practice Location Address:

1908 HIGH RIDGE RD
LAKE WORTH, FL
33461-6158

Practice Phone: 561-543-4307
Practice Fax:

1962191791 — NORMA DE LA CARIDAD RIQUELME
Practice Location Address:

1908 HIGH RIDGE RD
LAKE WORTH, FL
33461-6158

Practice Phone: 565-396-0721
Practice Fax:

1356598569 — MR. PATRICK J RAMSEY LPC
Practice Location Address:

4509 BUFFALO BEND PL
FORT WORTH, TX
76137-6158

Practice Phone: 682-730-6634
Practice Fax:

1821805417 — INTEGRAL GROWTH SOLUTIONS
Practice Location Address:

4509 BUFFALO BEND PL
FORT WORTH, TX
76137-6158

Practice Phone: 682-730-6634
Practice Fax:

1457670572 — MEDICAL INNOVATIONS INC
Practice Location Address:

6158 LAKE FRONT DR
FORT MYERS, FL
33908-4432

Practice Phone: 239-218-7337
Practice Fax: 239-432-9546

1851790349 — KELLY FITZPATRICK
Practice Location Address:

6158 HIGH VALLEY DR
WHITE LAKE, MI
48383-3378

Practice Phone: 248-887-6292
Practice Fax:

Directions to “ ODISLAIDA QUINTANA ALVAREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.