MEDICARE: ANA ALVAREZ PMH 1293

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	103K00000X	Behavior Analyst	PMH 1293	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952759508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA ALVAREZ PMH 1293

Provider Business Mailing Address
First Line	:	616 NW 26TH AVE APT 502
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 NW 26TH AVE APT 502
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3046
Country	:	US
Telephone Number	:	786-420-9060
Fax Number	:

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

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	05/24/2016

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