Provider Demographics
NPI:1063039113
Name:MARIALI ALVAREZ-ROHENA, MD PA
Entity Type:Organization
Organization Name:MARIALI ALVAREZ-ROHENA, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ-ROHENA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:305-458-3650
Mailing Address - Street 1:825 NE 91ST TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3217
Mailing Address - Country:US
Mailing Address - Phone:305-458-3650
Mailing Address - Fax:
Practice Address - Street 1:1801 NE 123RD ST STE 314
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2883
Practice Address - Country:US
Practice Address - Phone:786-780-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-05
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty