Provider Demographics
NPI:1124423280
Name:ALVAREZ FIGUEROA, MARISOL
Entity type:Individual
Prefix:
First Name:MARISOL
Middle Name:
Last Name:ALVAREZ FIGUEROA
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:D 20 GAVIOTA
Mailing Address - Street 2:URB BRISAS DE MAR CHIQUITA
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-964-9304
Mailing Address - Fax:
Practice Address - Street 1:1320 AVE SAN ALFONSO
Practice Address - Street 2:URB SANTIAGO IGLESIAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3621
Practice Address - Country:US
Practice Address - Phone:787-782-6403
Practice Address - Fax:787-782-0630
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10217183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician