Provider Demographics
NPI:1871397877
Name:ALVAREZ HERNANDEZ, HANIEL
Entity type:Individual
Prefix:
First Name:HANIEL
Middle Name:
Last Name:ALVAREZ HERNANDEZ
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 1:3721 NYACK LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3497
Mailing Address - Country:US
Mailing Address - Phone:786-940-2012
Mailing Address - Fax:
Practice Address - Street 1:3721 NYACK LN
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-3497
Practice Address - Country:US
Practice Address - Phone:786-940-2012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician