Irma L Alvarez, DMD

Individual provider Active NPI General Practice Dentistry · Bayamin, PR

NPI 1851483424 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1851483424
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
PR2305 (PR)
Practice address
Carr 167 Marginal 4
Suite 4 Forest Hills
Bayamin, PR 00959
Phone
(787) 798-6456
Fax
(787) 798-6456
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PR2305PRMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X PR2305 PR Yes

Addresses

Primary practice location

Carr 167 Marginal 4
Suite 4 Forest Hills
Bayamin, PR 00959

Mailing address

PO Box 607071
PMB 287
Bayamin, PR 00960-7071
Phone (787) 798-6456

Sources for this page

Verify at the official NPI Registry.