Healthcare Provider Details

I. General information

NPI: 1639779838
Provider Name (Legal Business Name): MARIA VIRGINIA ALVAREZ HAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 SW 57TH AVE STE 210
WEST MIAMI FL
33144-5768
US

IV. Provider business mailing address

15280 NW 79TH CT STE 200
MIAMI LAKES FL
33016-5873
US

V. Phone/Fax

Practice location:
  • Phone: 305-441-0744
  • Fax: 305-262-8771
Mailing address:
  • Phone: 305-558-3724
  • Fax: 786-907-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4912
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: