Provider Demographics
NPI:1134961063
Name:GARCIA ALVAREZ, ANGEL M (BSN, SRNA)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:M
Last Name:GARCIA ALVAREZ
Suffix:
Gender:M
Credentials:BSN, SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 383
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0383
Mailing Address - Country:US
Mailing Address - Phone:787-372-9362
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 383
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-0383
Practice Address - Country:US
Practice Address - Phone:787-372-9362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR94577163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse