Provider Demographics
NPI:1831487339
Name:ALVAREZ, ELIBETH (DMD)
Entity Type:Individual
Prefix:
First Name:ELIBETH
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 S OCEAN DR
Mailing Address - Street 2:APT 9 G
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-3019
Mailing Address - Country:US
Mailing Address - Phone:786-488-5475
Mailing Address - Fax:
Practice Address - Street 1:4001 S OCEAN DR
Practice Address - Street 2:APT 9 G
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-3019
Practice Address - Country:US
Practice Address - Phone:786-488-5475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL195031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice