Healthcare Provider Details

I. General information

NPI: 1083530356
Provider Name (Legal Business Name): SYS NURSE REGISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20855 NW 9TH CT STE 1B
MIAMI GARDENS FL
33169-6801
US

IV. Provider business mailing address

20855 NW 9TH CT STE 1B
MIAMI GARDENS FL
33169-6801
US

V. Phone/Fax

Practice location:
  • Phone: 305-816-6178
  • Fax: 786-916-6536
Mailing address:
  • Phone: 305-816-6178
  • Fax: 786-916-6536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SOLANCH ALVAREZ
Title or Position: OWNER
Credential:
Phone: 786-873-3330