Healthcare Provider Details

I. General information

NPI: 1578256699
Provider Name (Legal Business Name): ALIVI BPO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7205 CORPORATE CENTER DR STE 404
MIAMI FL
33126-1230
US

IV. Provider business mailing address

7205 CORPORATE CENTER DR STE 404
MIAMI FL
33126-1230
US

V. Phone/Fax

Practice location:
  • Phone: 786-441-8500
  • Fax:
Mailing address:
  • Phone: 786-441-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code126900000X
TaxonomyDental Laboratory Technician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code125K00000X
TaxonomyAdvanced Practice Dental Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code125J00000X
TaxonomyDental Therapist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL DAVIS
Title or Position: DIRECTOR, RISK TRANSFORMATION
Credential:
Phone: 786-441-8500