Provider Demographics
NPI:1194331777
Name:ALVAREZ QUINONES, CARLOS B
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:B
Last Name:ALVAREZ QUINONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 NW 202ND TER UNIT 701
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2995
Mailing Address - Country:US
Mailing Address - Phone:786-859-8771
Mailing Address - Fax:
Practice Address - Street 1:130 NW 202ND TER UNIT 701
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2995
Practice Address - Country:US
Practice Address - Phone:786-859-8771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician