Provider Demographics
NPI:1306245022
Name:ALVARADO, GLADYVI (MA)
Entity type:Individual
Prefix:MRS
First Name:GLADYVI
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:GLADYVI
Other - Middle Name:
Other - Last Name:ALVARADO CABRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2373 N CENTRAL AVE APT C-132
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2306
Mailing Address - Country:US
Mailing Address - Phone:787-410-9380
Mailing Address - Fax:
Practice Address - Street 1:2373 N CENTRAL AVE APT C-132
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2306
Practice Address - Country:US
Practice Address - Phone:787-410-9380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor