Healthcare Provider Details

I. General information

NPI: 1619853298
Provider Name (Legal Business Name): LUIS MANUEL ALVAREZ HERNANDEZ APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7480 BIRD RD STE 560
MIAMI FL
33155-6657
US

IV. Provider business mailing address

7480 BIRD RD STE 560
MIAMI FL
33155-6657
US

V. Phone/Fax

Practice location:
  • Phone: 305-707-5688
  • Fax:
Mailing address:
  • Phone: 305-707-5688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11043262
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9643106
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11043262
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11043262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: