Provider Demographics
NPI:1932568516
Name:ALVAREZ, OLGA LIDIA (ARNP)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:LIDIA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19500 BOBOLINK DR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2106
Mailing Address - Country:US
Mailing Address - Phone:305-613-6095
Mailing Address - Fax:786-803-8146
Practice Address - Street 1:19500 BOBOLINK DR
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-2106
Practice Address - Country:US
Practice Address - Phone:305-613-6095
Practice Address - Fax:786-803-8146
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9339566164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL63820OtherHEALTHSUN HEALTH PLANS