Provider Demographics
NPI:1538330188
Name:ALVAREZ THERAPEUTIC CENTER INC
Entity Type:Organization
Organization Name:ALVAREZ THERAPEUTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODALYS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-562-8107
Mailing Address - Street 1:760 NW 107TH AVE STE 300A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3157
Mailing Address - Country:US
Mailing Address - Phone:305-387-7740
Mailing Address - Fax:305-387-7741
Practice Address - Street 1:760 NW 107TH AVE STE 300A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3157
Practice Address - Country:US
Practice Address - Phone:305-387-7740
Practice Address - Fax:305-387-7741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA42611172V00000X
261Q00000X, 261QM0801X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty