Healthcare Provider Details

I. General information

NPI: 1184571002
Provider Name (Legal Business Name): GIL ALVAREZ BAEZ OTD, OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 72ND AVE STE 720
MIAMI FL
33126-1932
US

IV. Provider business mailing address

145 SW 13TH ST APT 740
MIAMI FL
33130-4399
US

V. Phone/Fax

Practice location:
  • Phone: 786-259-0300
  • Fax:
Mailing address:
  • Phone: 505-488-8757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number26725
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: