Provider Demographics
NPI:1649398231
Name:ALVAREZ, DEYSI D
Entity Type:Individual
Prefix:MRS
First Name:DEYSI
Middle Name:D
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W 49TH ST STE 211
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2946
Mailing Address - Country:US
Mailing Address - Phone:305-819-8077
Mailing Address - Fax:305-819-8095
Practice Address - Street 1:1800 W 49TH ST STE 211
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2946
Practice Address - Country:US
Practice Address - Phone:305-819-8077
Practice Address - Fax:305-819-8095
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor