Provider Demographics
NPI:1184890410
Name:ALVAREZ, SERGIO A (MD)
Entity type:Individual
Prefix:
First Name:SERGIO
Middle Name:A
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 LINCOLN RD
Mailing Address - Street 2:SUITE 430A
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2900
Mailing Address - Country:US
Mailing Address - Phone:305-600-4146
Mailing Address - Fax:
Practice Address - Street 1:605 LINCOLN RD
Practice Address - Street 2:SUITE 430A
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2900
Practice Address - Country:US
Practice Address - Phone:305-600-4146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115035208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery