Organization Name: | JOSE G ALVAREZ MD PA |
NPI Number: | 1295067510 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE G ALVAREZ (OWNER) |
Mailing Address: | 3940 W Flagler St Suite 202 Coral Gables |
State: | FL US |
Postal Code: | 331341613 |
Phone Number: | 3054611455 |
Fax Number: | 3054613682 |
NPI Enumeration Date: | 02/11/2010 |
NPI Last Update Date: | 02/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |