Provider Demographics
NPI:1447698097
Name:MARTINEZ-ALVARADO, LESVIA Y (PSYD)
Entity type:Individual
Prefix:DR
First Name:LESVIA
Middle Name:Y
Last Name:MARTINEZ-ALVARADO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 159 BOX 10078
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-949-3713
Mailing Address - Fax:
Practice Address - Street 1:CENTRO DE CONVENCIONES LUIS A. 'WITO' SANTIAGO
Practice Address - Street 2:CARR 14 KM 30
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-329-9770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4641103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical