Provider Demographics
NPI:1467221705
Name:ALVAREZ, AIDA (APRN)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 W 16TH AVE APT 803
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4549
Mailing Address - Country:US
Mailing Address - Phone:786-805-9658
Mailing Address - Fax:
Practice Address - Street 1:3001 W 16TH AVE APT 803
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4549
Practice Address - Country:US
Practice Address - Phone:786-805-9658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030004207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology