Provider Demographics
NPI:1689618647
Name:ALVAREZ, MANUEL E (PHD PA)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:E
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:PHD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 N KENDALL DR
Mailing Address - Street 2:SUITE 415
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7564
Mailing Address - Country:US
Mailing Address - Phone:305-274-2403
Mailing Address - Fax:
Practice Address - Street 1:7700 N KENDALL DR
Practice Address - Street 2:SUITE 415
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7564
Practice Address - Country:US
Practice Address - Phone:305-274-2403
Practice Address - Fax:305-274-2433
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3272103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73381Medicare UPIN