| NPI | 1326934035 |
|---|---|
| Former Name | JOSE ALFREDO ALVAREZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-18 |