Provider Demographics
NPI:1619716602
Name:ALVAREZ, ALMA (HHP, CMT, LE, RP)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:HHP, CMT, LE, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 RIVA LN UNIT D
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-2449
Mailing Address - Country:US
Mailing Address - Phone:858-705-9809
Mailing Address - Fax:
Practice Address - Street 1:1750 SAN PABLO DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4718
Practice Address - Country:US
Practice Address - Phone:858-705-9809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60249225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist