Provider Demographics
NPI:1730311309
Name:ALVAREZ AND SUAREZ SUPPORT, INC
Entity Type:Organization
Organization Name:ALVAREZ AND SUAREZ SUPPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:UBALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-726-8936
Mailing Address - Street 1:11900 BISCAYNE BLVD STE 503
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2749
Mailing Address - Country:US
Mailing Address - Phone:305-893-4510
Mailing Address - Fax:305-893-3191
Practice Address - Street 1:11900 BISCAYNE BLVD STE 503
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2749
Practice Address - Country:US
Practice Address - Phone:305-893-4510
Practice Address - Fax:305-893-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001912200Medicaid
FL693253396Medicaid
FL693253396Medicaid