Provider Demographics
NPI:1720255276
Name:ALVAREZ, YUSIMI (MA)
Entity Type:Individual
Prefix:
First Name:YUSIMI
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 NW 77TH CT
Mailing Address - Street 2:SUITE# 313-314
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-7084
Mailing Address - Country:US
Mailing Address - Phone:305-827-8919
Mailing Address - Fax:305-827-8918
Practice Address - Street 1:10550 NW 77TH CT
Practice Address - Street 2:SUITE# 313-314
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-7084
Practice Address - Country:US
Practice Address - Phone:305-827-8919
Practice Address - Fax:305-827-8918
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA45992225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist