Healthcare Provider Details

I. General information

NPI: 1619830890
Provider Name (Legal Business Name): JHOHANNA ALVAREZ CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9875 PINEAPPLE TREE DR APT 207
BOYNTON BEACH FL
33436-8071
US

IV. Provider business mailing address

9875 PINEAPPLE TREE DR APT 207
BOYNTON BEACH FL
33436-8071
US

V. Phone/Fax

Practice location:
  • Phone: 561-900-5327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11044619
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number9465146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: