Provider Demographics
NPI:1235930777
Name:ALVAREZ SIERRA, LORENA
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:ALVAREZ SIERRA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 SUMMER SAILS DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-8011
Mailing Address - Country:US
Mailing Address - Phone:813-406-9336
Mailing Address - Fax:
Practice Address - Street 1:339 SUMMER SAILS DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-8011
Practice Address - Country:US
Practice Address - Phone:813-406-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician