Provider Demographics
NPI:1447066915
Name:ALVAREZ, JOSE EDUARDO
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:EDUARDO
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 FISHER CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4217
Mailing Address - Country:US
Mailing Address - Phone:497-552-9018
Mailing Address - Fax:
Practice Address - Street 1:631 FISHER CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4217
Practice Address - Country:US
Practice Address - Phone:497-552-9018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst