Healthcare Provider Details

I. General information

NPI: 1881874931
Provider Name (Legal Business Name): SANDRA RAMONA ALVAREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 05/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19801 HAMPTON DRIVE
BOCA RATON FL
33434
US

IV. Provider business mailing address

19801 HAMPTON DR # C-2
BOCA RATON FL
33434-2840
US

V. Phone/Fax

Practice location:
  • Phone: 561-477-2862
  • Fax: 561-477-2864
Mailing address:
  • Phone: 561-477-2862
  • Fax: 561-477-2864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number97494
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME97494
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: