Provider Demographics
NPI:1952857476
Name:CORDERO ALVAREZ, YOEL
Entity Type:Individual
Prefix:
First Name:YOEL
Middle Name:
Last Name:CORDERO ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6895 BYRON AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3832
Mailing Address - Country:US
Mailing Address - Phone:307-761-0054
Mailing Address - Fax:
Practice Address - Street 1:6895 BYRON AVE APT 108
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3832
Practice Address - Country:US
Practice Address - Phone:307-761-0054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55532183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist