Healthcare Provider Details

I. General information

NPI: 1629084546
Provider Name (Legal Business Name): STEVE L ALVES CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 10/26/2020
Certification Date: 10/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7875 SW 104TH ST STE 201
MIAMI FL
33156-2642
US

IV. Provider business mailing address

9500 S DADELAND BLVD
MIAMI FL
33156-2824
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-7572
  • Fax:
Mailing address:
  • Phone: 305-468-4185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number171042
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9432897
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: