Healthcare Provider Details

I. General information

NPI: 1871428680
Provider Name (Legal Business Name): ALEXIS EDUARDO ALVITE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15170 SW 49TH CT
MIRAMAR FL
33027-3602
US

IV. Provider business mailing address

15170 SW 49TH CT
MIRAMAR FL
33027-3602
US

V. Phone/Fax

Practice location:
  • Phone: 305-849-8882
  • Fax:
Mailing address:
  • Phone: 305-849-8882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT23655
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: