Provider Demographics
NPI:1780970939
Name:ALVAREZ, SERGIO ANTONIO (CRNA,MS)
Entity type:Individual
Prefix:MR
First Name:SERGIO
Middle Name:ANTONIO
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:CRNA,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 AVE. ART. HOSTOS APT#69
Mailing Address - Street 2:CONDO GOLDEN COURT I
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-461-9598
Mailing Address - Fax:
Practice Address - Street 1:115 AVE. ART. HOSTOS APT#69
Practice Address - Street 2:CONDO GOLDEN COURT I
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-461-9598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9336434367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered