MEDICARE: LUIS MANUEL ALVAREZ RN

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	163W00000X	Registered Nurse	9643106	FL
2	363LF0000X	Family Nurse Practitioner	11043262	FL

General Provider Information

NPI Number	:	1619853298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS MANUEL ALVAREZ RN

Provider Business Mailing Address
First Line	:	7480 BIRD RD STE 560
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-6657
Country	:	US
Telephone Number	:	305-707-5688
Fax Number	:

Provider Business Practice Location Address
First Line	:	7480 BIRD RD STE 560
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-6657
Country	:	US
Telephone Number	:	305-707-5688
Fax Number	:

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

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	10/29/2025

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