Healthcare Provider Details

I. General information

NPI: 1437958451
Provider Name (Legal Business Name): ASHLEY ALVARADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14505 COMMERCE WAY STE 800
MIAMI LAKES FL
33016-1599
US

IV. Provider business mailing address

11306 NW 15TH CT
PEMBROKE PINES FL
33026-2694
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-4441
  • Fax:
Mailing address:
  • Phone: 305-323-8574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11038022
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: