Provider Demographics
NPI:1710183553
Name:MANUEL E ALVAREZ PHD PA
Entity Type:Organization
Organization Name:MANUEL E ALVAREZ PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-274-2403
Mailing Address - Street 1:7700 N KENDALL DR STE 415
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7565
Mailing Address - Country:US
Mailing Address - Phone:305-274-2403
Mailing Address - Fax:
Practice Address - Street 1:7700 N KENDALL DR STE 415
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7565
Practice Address - Country:US
Practice Address - Phone:305-274-2403
Practice Address - Fax:305-274-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3272103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty