MEDICARE: MRS. MARIA DEL CARMEN ALVAREZ ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	ARNP2810542	FL

General Provider Information

NPI Number	:	1215265780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA DEL CARMEN ALVAREZ ARNP

Provider Business Mailing Address
First Line	:	6720 TAFT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3903
Country	:	US
Telephone Number	:	954-964-0070
Fax Number	:	954-964-4289

Provider Business Practice Location Address
First Line	:	6720 TAFT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3903
Country	:	US
Telephone Number	:	954-964-0070
Fax Number	:	954-964-4289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2009
Last Update Date	:	05/19/2010

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