Provider Demographics
NPI:1245621226
Name:ALVAREZ ENTERPRISES, LLC
Entity type:Organization
Organization Name:ALVAREZ ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:305-986-8293
Mailing Address - Street 1:PO BOX 370543
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-0543
Mailing Address - Country:US
Mailing Address - Phone:305-986-8293
Mailing Address - Fax:954-357-2146
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 19938261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy