Provider Demographics
NPI:1174078471
Name:ALVARADO, MELINA
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:
Last Name:ALVARADO
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 1:429 ALAFAYA WOODS BLVD
Mailing Address - Street 2:APT. F
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5513
Mailing Address - Country:US
Mailing Address - Phone:321-960-9386
Mailing Address - Fax:
Practice Address - Street 1:429 ALAFAYA WOODS BLVD
Practice Address - Street 2:APT. F
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5513
Practice Address - Country:US
Practice Address - Phone:321-960-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator