Provider Demographics
NPI:1447426994
Name:ALVAREZ, IDAIGNA MARIA (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:IDAIGNA
Middle Name:MARIA
Last Name:ALVAREZ
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Gender:F
Credentials:DMD, MS
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Mailing Address - Street 1:8061 SPYGLASS HILL ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940
Mailing Address - Country:US
Mailing Address - Phone:321-622-6255
Mailing Address - Fax:321-622-6254
Practice Address - Street 1:8061 SPYGLASS HILL ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940
Practice Address - Country:US
Practice Address - Phone:321-622-6255
Practice Address - Fax:321-622-6254
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2015-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL141481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry