Provider Demographics
NPI:1417159633
Name:ALENCAR, ALVARO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:JOSE
Last Name:ALENCAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1002
Mailing Address - Country:US
Mailing Address - Phone:305-243-6606
Mailing Address - Fax:305-243-4975
Practice Address - Street 1:1475 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-6606
Practice Address - Fax:305-243-4975
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2009-0076207RH0003X
FLME111965207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMZ2565OtherMCD GROUP
FL0038OtherMEDICARE GROUP#
NM1932187044OtherGROUP NPI
NM800521089OtherMEDICARE GROUP
FLGK424ZOtherMEDICARE
NM43371256Medicaid
FL0038OtherMEDICARE GROUP#
NMNM302181Medicare PIN
NMZ2565OtherMCD GROUP