Healthcare Provider Details

I. General information

NPI: 1811912660
Provider Name (Legal Business Name): ALVAREZ & GARCIA, PA.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 05/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6641-A SOUTH DIXIE HIGHWAY
MIAMI FL
33143-7919
US

IV. Provider business mailing address

6641-A SOUTH DIXIE HIGHWAY
MIAMI FL
33143-7919
US

V. Phone/Fax

Practice location:
  • Phone: 305-667-0306
  • Fax: 305-667-0368
Mailing address:
  • Phone: 305-667-0306
  • Fax: 305-667-0368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN12696
License Number StateFL

VIII. Authorized Official

Name: DR. MARIO KENNETH GARCIA
Title or Position: PRESIDENT/DENTIST
Credential: D.D.S
Phone: 305-667-0306