Provider Demographics
NPI:1649727892
Name:ALVAREZ, PAVEL (BA)
Entity type:Individual
Prefix:
First Name:PAVEL
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 NW 24TH AVE
Mailing Address - Street 2:APT- 818
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1260
Mailing Address - Country:US
Mailing Address - Phone:786-720-0103
Mailing Address - Fax:
Practice Address - Street 1:1800 NW 24TH AVE
Practice Address - Street 2:APT- 818
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1260
Practice Address - Country:US
Practice Address - Phone:786-720-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator