Provider Demographics
NPI:1104357219
Name:ALVAREZ, GABRIELA (OTR/L)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13120 SW 92ND AVE
Mailing Address - Street 2:APT B-202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8707
Mailing Address - Country:US
Mailing Address - Phone:786-543-8745
Mailing Address - Fax:
Practice Address - Street 1:13120 SW 92ND AVE
Practice Address - Street 2:APTB202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8707
Practice Address - Country:US
Practice Address - Phone:786-543-8745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-21
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18330225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist