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General NPI Number Information
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NPI Number | 1639320435
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Entity Type | Organization
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Legal Business Name | MANUEL ALVAREZ-JACINTO MD PA
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 351 NW 42ND AVE SUITE 404
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City | MIAMI
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State | FL
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Zip | 33126-5683
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Country | US
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Telephone | 305-445-3630
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Fax | 305-262-7353
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Provider Business Mailing Address
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Address Line | PO BOX 653607
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City | MIAMI
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State | FL
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Zip | 33265-3607
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Country | US
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Telephone | 305-445-3630
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Fax | 305-262-7353
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Authorized Official
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Title or Position | OWNER
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Name | MANUEL ALVAREZ-JACINTO
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Credential | MD
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Telephone | 305-445-3630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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