Provider Demographics
NPI:1134989254
Name:ALVAREZ, BARBARA CRISTINA
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:CRISTINA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7593 CALLE DR. JAIME C DIAZ
Mailing Address - Street 2:URB. LOS MAESTROS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-228-5182
Mailing Address - Fax:
Practice Address - Street 1:7593 CALLE DR. JAIME C DIAZ
Practice Address - Street 2:URB. LOS MAESTROS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-228-5182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7669103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool