Provider Demographics
NPI:1851568455
Name:FERNANDEZ CAROL, ALVARO OSCAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:OSCAR
Last Name:FERNANDEZ CAROL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MIRACLE MILE
Mailing Address - Street 2:305
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4926
Mailing Address - Country:US
Mailing Address - Phone:305-443-2993
Mailing Address - Fax:305-443-2460
Practice Address - Street 1:401 MIRACLE MILE
Practice Address - Street 2:SUITE 305
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4926
Practice Address - Country:US
Practice Address - Phone:305-443-2993
Practice Address - Fax:305-443-2460
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14570122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist