Provider Demographics
NPI:1023541315
Name:ALVAREZ ORDUZ, LAURA CECILIA (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:CECILIA
Last Name:ALVAREZ ORDUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NE 56TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4149
Mailing Address - Country:US
Mailing Address - Phone:954-452-0700
Mailing Address - Fax:
Practice Address - Street 1:4701 N FEDERAL HWY STE A10
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4608
Practice Address - Country:US
Practice Address - Phone:954-542-0700
Practice Address - Fax:734-961-4148
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1067269207R00000X
CAA165249207R00000X
FLME150944207RG0300X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program