Healthcare Provider Details

I. General information

NPI: 1922748672
Provider Name (Legal Business Name): PALOMA BEATRIZ ALVAREZ CORDOLIANI MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE
ORLANDO FL
32804-4603
US

IV. Provider business mailing address

2501 N ORANGE AVE
ORLANDO FL
32804-4603
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-7133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberME173008
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: