Provider Demographics
NPI:1235271255
Name:ALVAREZ, PEDRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 NW 166TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3420
Mailing Address - Country:US
Mailing Address - Phone:305-321-4923
Mailing Address - Fax:305-823-2462
Practice Address - Street 1:8020 NW 166TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-3420
Practice Address - Country:US
Practice Address - Phone:305-321-4923
Practice Address - Fax:305-823-2462
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN117621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice