Healthcare Provider Details

I. General information

NPI: 1043746415
Provider Name (Legal Business Name): MARIA OFELIA RODRIGUEZ ALVAREZ SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3126 NW 17TH AVE
CAPE CORAL FL
33993-8440
US

IV. Provider business mailing address

3126 NW 17TH AVE
CAPE CORAL FL
33993-8440
US

V. Phone/Fax

Practice location:
  • Phone: 786-613-3812
  • Fax:
Mailing address:
  • Phone: 786-613-3812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13279
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: