Provider Demographics
NPI:1942743034
Name:ALVIN HILL
Entity Type:Organization
Organization Name:ALVIN HILL
Other - Org Name:ALVIN HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-0156
Mailing Address - Street 1:925 NE 199TH ST # SY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-5841
Mailing Address - Country:US
Mailing Address - Phone:305-156-9947
Mailing Address - Fax:305-756-9948
Practice Address - Street 1:925 NE 199TH ST APT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-5841
Practice Address - Country:US
Practice Address - Phone:305-156-9947
Practice Address - Fax:305-756-9948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 17986171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty