Healthcare Provider Details

I. General information

NPI: 1437088473
Provider Name (Legal Business Name): MIA ELIZABETH ALVAREZ-ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13650 NW EIGTH ST UNIT 109, SUNRISE, FL
SUNRISE FL
33325
US

IV. Provider business mailing address

10000 SHERIDAN ST APT 202
PEMBROKE PINES FL
33024-8527
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 954-593-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: