Provider Demographics
NPI:1104822261
Name:MURCIA, ALVARO M (MD)
Entity Type:Individual
Prefix:
First Name:ALVARO
Middle Name:M
Last Name:MURCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18503 PINES BLVD SUITE 303
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2354
Mailing Address - Country:US
Mailing Address - Phone:954-499-7878
Mailing Address - Fax:954-499-7877
Practice Address - Street 1:18503 PINES BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029
Practice Address - Country:US
Practice Address - Phone:954-499-7878
Practice Address - Fax:954-499-7877
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79729207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8244YMedicare PIN
H71362Medicare UPIN