Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 396 | PR |
NPI | 1508909656 |
---|---|
Provider Name | Dr. Armando M Alvarez |
First Address | Las Piedras, PR 00771 |
Second Address | Las Piedras, PR 00771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 17/11/2010 |