MEDICARE: ALVAREZ THERAPEUTIC CENTER INC

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	172V00000X	Community Health Worker	MA42611	FL

General Provider Information

NPI Number	:	1538330188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALVAREZ THERAPEUTIC CENTER INC

Provider Business Mailing Address
First Line	:	7392 NW 35TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33122-1271
Country	:	US
Telephone Number	:	305-597-9007
Fax Number	:	305-597-9059

Provider Business Practice Location Address
First Line	:	7392 NW 35TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33122-1271
Country	:	US
Telephone Number	:	305-597-9007
Fax Number	:	305-597-9059

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ODALYS ALVAREZ
Credential	:	M.A
Telephone Number	:	305-597-9007

Provider Enumeration Date	:	03/21/2008
Last Update Date	:	04/22/2016

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