Provider Demographics
NPI:1174746119
Name:ALVIRA-VIERA, LUZ E
Entity type:Individual
Prefix:DR
First Name:LUZ
Middle Name:E
Last Name:ALVIRA-VIERA
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 1:12 AVE ARBOLOTE APT 185
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5509
Mailing Address - Country:US
Mailing Address - Phone:787-287-2958
Mailing Address - Fax:787-641-2774
Practice Address - Street 1:CHARDON AVE. APS HEALTHCARE OF PUERTO RICO
Practice Address - Street 2:ANNEX BLG. 2ND FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-8574
Practice Address - Country:US
Practice Address - Phone:787-641-0774
Practice Address - Fax:787-641-2774
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2228103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical