Provider Demographics
NPI:1942302187
Name:ALVAREZ, LUIS (MPT)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 MAHOGANY DRIVE
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037
Mailing Address - Country:US
Mailing Address - Phone:305-986-8293
Mailing Address - Fax:
Practice Address - Street 1:386 MAHOGANY DRIVE
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037
Practice Address - Country:US
Practice Address - Phone:305-986-8293
Practice Address - Fax:954-357-2146
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT19938OtherLICENSE #