Provider Demographics
NPI:1811364672
Name:ISRAEL D. ALVAREZ, M.D.,FAAP; ALVIS PEDIATRICS,P.A.
Entity Type:Organization
Organization Name:ISRAEL D. ALVAREZ, M.D.,FAAP; ALVIS PEDIATRICS,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-623-5766
Mailing Address - Street 1:18300 NW 62ND AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-8200
Mailing Address - Country:US
Mailing Address - Phone:305-623-4444
Mailing Address - Fax:305-623-9720
Practice Address - Street 1:18300 NW 62ND AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-8200
Practice Address - Country:US
Practice Address - Phone:305-623-4444
Practice Address - Fax:305-623-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57185261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062906500Medicaid