Provider Demographics
NPI:1336704683
Name:ALVAREZ, ANNABELLE SORAYA (DO)
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:SORAYA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4192 SW 188TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2764
Mailing Address - Country:US
Mailing Address - Phone:954-243-7016
Mailing Address - Fax:
Practice Address - Street 1:18300 NW 62ND AVE STE 230
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-8217
Practice Address - Country:US
Practice Address - Phone:305-623-4444
Practice Address - Fax:305-623-9720
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS18669207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine