Healthcare Provider Details

I. General information

NPI: 1710841531
Provider Name (Legal Business Name): ERIC ALVAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 NW 28TH PL
SUNRISE FL
33322-2325
US

IV. Provider business mailing address

8641 NW 28TH PL
SUNRISE FL
33322-2325
US

V. Phone/Fax

Practice location:
  • Phone: 561-358-6088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA103341
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: