Provider Demographics
NPI:1245770460
Name:ALVAREZ GONZALEZ, SANDRA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:MARIA
Last Name:ALVAREZ GONZALEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 W FLAGLER ST APT 902
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2297
Mailing Address - Country:US
Mailing Address - Phone:786-712-2718
Mailing Address - Fax:
Practice Address - Street 1:5040 NW 7TH ST STE 632
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3437
Practice Address - Country:US
Practice Address - Phone:305-342-2020
Practice Address - Fax:305-441-2883
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN24482122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program