Healthcare Provider Details

I. General information

NPI: 1811364672
Provider Name (Legal Business Name): ISRAEL D. ALVAREZ, M.D.,FAAP; ALVIS PEDIATRICS,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18300 NW 62ND AVE SUITE 230
HIALEAH FL
33015-8200
US

IV. Provider business mailing address

18300 NW 62ND AVE SUITE 230
HIALEAH FL
33015-8200
US

V. Phone/Fax

Practice location:
  • Phone: 305-623-4444
  • Fax: 305-623-9720
Mailing address:
  • Phone: 305-623-4444
  • Fax: 305-623-9720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberME57185
License Number StateFL

VIII. Authorized Official

Name: DR. ISRAEL DAVID ALVAREZ
Title or Position: PRESIDENT
Credential: M.D
Phone: 305-623-5766