Provider Demographics
NPI:1215606926
Name:IBARS ALVAREZ, JULIO MARIO (APRN)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:MARIO
Last Name:IBARS ALVAREZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14205 SW 57TH LN APT 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1075
Mailing Address - Country:US
Mailing Address - Phone:786-387-1955
Mailing Address - Fax:
Practice Address - Street 1:3181 CORAL WAY FL 5TH
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3216
Practice Address - Country:US
Practice Address - Phone:305-858-3494
Practice Address - Fax:305-444-0780
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11014594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily