Healthcare Provider Details

I. General information

NPI: 1912188772
Provider Name (Legal Business Name): RADHAMES RAFAEL ALVAREZ II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 E 49TH ST
HIALEAH FL
33013-1963
US

IV. Provider business mailing address

19358 SW 64TH ST
FORT LAUDERDALE FL
33332-3357
US

V. Phone/Fax

Practice location:
  • Phone: 305-681-7770
  • Fax: 305-681-7968
Mailing address:
  • Phone: 954-680-4218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME94942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: