Provider Demographics
NPI:1306638879
Name:ALVAREZ, JOSEPH CUENCA
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CUENCA
Last Name:ALVAREZ
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 1:3 COLES CT
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1001
Mailing Address - Country:US
Mailing Address - Phone:862-213-5790
Mailing Address - Fax:862-213-5790
Practice Address - Street 1:3 COLES CT
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1001
Practice Address - Country:US
Practice Address - Phone:862-213-5790
Practice Address - Fax:862-213-5790
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011392225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant