Provider Demographics
NPI:1861222341
Name:ALVAREZ OVIEDO, MARICARLA
Entity type:Individual
Prefix:
First Name:MARICARLA
Middle Name:
Last Name:ALVAREZ OVIEDO
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 1:3205 W 16TH AVE LOT A4
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4629
Mailing Address - Country:US
Mailing Address - Phone:786-694-2677
Mailing Address - Fax:
Practice Address - Street 1:3205 W 16TH AVE LOT A4
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4629
Practice Address - Country:US
Practice Address - Phone:786-694-2677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty