Healthcare Provider Details

I. General information

NPI: 1740152149
Provider Name (Legal Business Name): ALFONSO ALVAREZ ESPINOSA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 NW 53RD ST STE 114
DORAL FL
33166-4681
US

IV. Provider business mailing address

4001 NW 11TH ST
MIAMI FL
33126-3651
US

V. Phone/Fax

Practice location:
  • Phone: 786-390-4278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: