| NPI | 1174948699 | 
|---|---|
| Former Legal Business Name | LISSETTE ALVAREZ CORDERO, MD | 
| Entity Type | Organization | 
| Authorized Contact | LISSETTE DE LOS ANGELES ALVAREZ Propietario 787-862-1347 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 10025) | 
| Enumeration Date | 2014-02-20 | 
| Last Update Date | 2014-02-20 |