Provider Demographics
NPI:1366564411
Name:ALVAREZ-VILLEGAS, HAYDEE
Entity type:Individual
Prefix:MRS
First Name:HAYDEE
Middle Name:
Last Name:ALVAREZ-VILLEGAS
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 1:3020 CHILDRENS WAY # MC50116
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-966-5803
Mailing Address - Fax:858-966-5992
Practice Address - Street 1:3020 CHILDRENS WAY # MC5016
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:619-533-3529
Practice Address - Fax:619-533-3558
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator