Provider Demographics
NPI:1669701074
Name:ALVARADO, HUGO (LMT)
Entity type:Individual
Prefix:MR
First Name:HUGO
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 TALLWOOD AVE
Mailing Address - Street 2:APT 201
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-7975
Mailing Address - Country:US
Mailing Address - Phone:954-696-4806
Mailing Address - Fax:
Practice Address - Street 1:8045 NW 36TH ST
Practice Address - Street 2:STE 525
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6627
Practice Address - Country:US
Practice Address - Phone:305-418-8825
Practice Address - Fax:305-418-8824
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA416326743730225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist