Provider Demographics
NPI:1336225259
Name:ALVAREZTORRE, GLORIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:
Last Name:ALVAREZTORRE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11645 BISCAYNE BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3139
Mailing Address - Country:US
Mailing Address - Phone:305-892-1515
Mailing Address - Fax:305-893-0886
Practice Address - Street 1:11645 BISCAYNE BLVD. #406
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:305-892-1515
Practice Address - Fax:305-893-0886
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13515122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist