Provider Demographics
NPI:1255620761
Name:ALVAREZ, MARTHA
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3412 W 84TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4918
Mailing Address - Country:US
Mailing Address - Phone:305-827-7344
Mailing Address - Fax:305-827-7382
Practice Address - Street 1:3412 W 84TH ST STE 102
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4918
Practice Address - Country:US
Practice Address - Phone:305-827-7344
Practice Address - Fax:305-827-7382
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist