Provider Demographics
NPI:1558545822
Name:ALVAREZ, ALDEN RENE (MD)
Entity Type:Individual
Prefix:
First Name:ALDEN
Middle Name:RENE
Last Name:ALVAREZ
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 1:500 BAYVIEW DR APT 631
Mailing Address - Street 2:ARLEN HOUSE COMPLEX
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4777
Mailing Address - Country:US
Mailing Address - Phone:786-537-9041
Mailing Address - Fax:
Practice Address - Street 1:500 BAYVIEW DR
Practice Address - Street 2:APT. NO. 631
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4780
Practice Address - Country:US
Practice Address - Phone:786-537-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 105827207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine