Provider Demographics
NPI:1366150310
Name:ALVAREZ, SAUL J
Entity type:Individual
Prefix:
First Name:SAUL
Middle Name:J
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 1:590 NW PEACOCK BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2213
Mailing Address - Country:US
Mailing Address - Phone:772-348-0900
Mailing Address - Fax:
Practice Address - Street 1:590 NW PEACOCK BLVD STE 1
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2213
Practice Address - Country:US
Practice Address - Phone:772-348-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health