Provider Demographics
NPI:1225640626
Name:ALVAREZ, JULIO (COTA/L)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:JULIO
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:7631 SW 164TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3742
Mailing Address - Country:US
Mailing Address - Phone:305-562-2292
Mailing Address - Fax:
Practice Address - Street 1:9400 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1434
Practice Address - Country:US
Practice Address - Phone:305-562-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14018224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant