Healthcare Provider Details

I. General information

NPI: 1467221705
Provider Name (Legal Business Name): AIDA ALVAREZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2023
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 12 AVE SUITE 3410
MIAMI FL
33136
US

IV. Provider business mailing address

1475 NW 12 AVE SUITE 3410
MIAMI FL
33136
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-2233
  • Fax: 305-243-4938
Mailing address:
  • Phone: 305-243-2233
  • Fax: 305-243-4938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11030004
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: