Healthcare Provider Details

I. General information

NPI: 1750006532
Provider Name (Legal Business Name): DANICA ALVARADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 SW 172ND AVE
MIRAMAR FL
33029-5593
US

IV. Provider business mailing address

1951 SW 172ND AVE
MIRAMAR FL
33029-5593
US

V. Phone/Fax

Practice location:
  • Phone: 305-606-7028
  • Fax:
Mailing address:
  • Phone: 954-362-2720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9116607
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: