Provider Demographics
NPI:1316280472
Name:ALVIRA, DAMARIS (RN)
Entity type:Individual
Prefix:MRS
First Name:DAMARIS
Middle Name:
Last Name:ALVIRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION EXTENSIONES VALLES DE ARROYO
Mailing Address - Street 2:CASA U-3
Mailing Address - City:ARROYO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00714
Mailing Address - Country:UM
Mailing Address - Phone:787-429-9440
Mailing Address - Fax:787-271-0004
Practice Address - Street 1:99 GUILLERMO RIEFKHOL STREET
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723-0000
Practice Address - Country:US
Practice Address - Phone:787-839-4320
Practice Address - Fax:787-271-0004
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6705163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse