MEDICARE: MARCY ALVAREZ, DO. PA

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	207N00000X	Dermatology Physician	OS10899	FL

General Provider Information

NPI Number	:	1477850329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARCY ALVAREZ, DO. PA

Provider Business Mailing Address
First Line	:	1111 LINCOLN RD
Second Line	:	SUITE 375
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2452
Country	:	US
Telephone Number	:	305-397-8622
Fax Number	:	305-397-8422

Provider Business Practice Location Address
First Line	:	1111 LINCOLN RD
Second Line	:	SUITE 375
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2452
Country	:	US
Telephone Number	:	305-397-8622
Fax Number	:	305-397-8422

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	MARCY ALVAREZ
Credential	:	DO
Telephone Number	:	306-397-8622

Provider Enumeration Date	:	02/11/2011
Last Update Date	:	06/13/2016

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