Provider Demographics
NPI:1851551451
Name:ALVAREZ, JASON FELIX (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:FELIX
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9560 SW 107TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2790
Mailing Address - Country:US
Mailing Address - Phone:305-505-3449
Mailing Address - Fax:
Practice Address - Street 1:9560 SW 107TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2790
Practice Address - Country:US
Practice Address - Phone:305-505-3449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor