Healthcare Provider Details

I. General information

NPI: 1154983260
Provider Name (Legal Business Name): JESSICA PAOLA ALVAREZ LESMES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1096
US

IV. Provider business mailing address

8222 CENTRAL PARK BLVD
DORAL FL
33166-5696
US

V. Phone/Fax

Practice location:
  • Phone: 786-788-1104
  • Fax:
Mailing address:
  • Phone: 786-788-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME162891
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: