Healthcare Provider Details

I. General information

NPI: 1942743059
Provider Name (Legal Business Name): ALVIN HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 11/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18350 NW 2ND AVE # ANE
MIAMI GARDENS FL
33169-4568
US

IV. Provider business mailing address

18350 NW 2ND AVE # ANE
MIAMI GARDENS FL
33169-4568
US

V. Phone/Fax

Practice location:
  • Phone: 305-303-0156
  • Fax: 305-756-9948
Mailing address:
  • Phone: 305-303-0156
  • Fax: 305-756-9948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: