Healthcare Provider Details

I. General information

NPI: 1235360751
Provider Name (Legal Business Name): CLAUDIO ALVAREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DR. CLAUDIO ALVAREZ

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 SW 37 AVENUE
MIAMI FL
33135
US

IV. Provider business mailing address

1205 SW 37 AVENUE
MIAMI FL
33135
US

V. Phone/Fax

Practice location:
  • Phone: 305-448-8100
  • Fax: 305-448-5783
Mailing address:
  • Phone: 305-448-8100
  • Fax: 305-448-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME42884
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: