Healthcare Provider Details

I. General information

NPI: 1013020585
Provider Name (Legal Business Name): FERNANDO JULIO ALVAREZ PEREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S MIAMI AVE SUITE 106
MIAMI FL
33133-4236
US

IV. Provider business mailing address

3661 S MIAMI AVE SUITE 106
MIAMI FL
33133-4236
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-9966
  • Fax: 305-856-0052
Mailing address:
  • Phone: 305-854-9966
  • Fax: 305-856-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0046653
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: