Provider Demographics
NPI:1982424982
Name:ALVAREZ JAREL, ELENA
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:ALVAREZ JAREL
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 1:2552 YORK ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-4050
Mailing Address - Country:US
Mailing Address - Phone:786-438-8221
Mailing Address - Fax:
Practice Address - Street 1:2552 YORK ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-4050
Practice Address - Country:US
Practice Address - Phone:786-438-8221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician