Provider Demographics
NPI:1962199455
Name:ALFARO JUAREZ, BLANCA IRIS
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:IRIS
Last Name:ALFARO JUAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 CATHEDRAL AVE NW APT 308W
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3520
Mailing Address - Country:US
Mailing Address - Phone:301-273-5700
Mailing Address - Fax:
Practice Address - Street 1:4201 CATHEDRAL AVE NW APT 308W
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3520
Practice Address - Country:US
Practice Address - Phone:301-273-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty