Healthcare Provider Details

I. General information

NPI: 1346203304
Provider Name (Legal Business Name): JOSE RAMON ALVAREZ M.D.., F.C.C.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 NW 82ND AVE STE 105
PLANTATION FL
33324-1853
US

IV. Provider business mailing address

PO BOX 17110
PLANTATION FL
33318-7110
US

V. Phone/Fax

Practice location:
  • Phone: 954-476-8420
  • Fax: 954-476-8837
Mailing address:
  • Phone: 954-476-8420
  • Fax: 954-476-8837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME0049946
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME49946
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: