Provider Demographics
NPI:1336214246
Name:ALVAREZ, OLGA LYDIA (RPH, PHARM D)
Entity type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:LYDIA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B , D-I-16
Mailing Address - Street 2:MANSIONES DE VILLANOVA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-720-8355
Mailing Address - Fax:787-724-0320
Practice Address - Street 1:B , D-I-16
Practice Address - Street 2:MANSIONES DE VILLANOVA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-720-8355
Practice Address - Fax:787-724-0320
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2009-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist