Provider Demographics
NPI:1881874931
Name:ALVAREZ, SANDRA RAMONA (MD)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:RAMONA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19801 HAMPTON DR # C-2
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-2840
Mailing Address - Country:US
Mailing Address - Phone:561-477-2862
Mailing Address - Fax:561-477-2864
Practice Address - Street 1:19801 HAMPTON DRIVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434
Practice Address - Country:US
Practice Address - Phone:561-477-2862
Practice Address - Fax:561-477-2864
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL97494208000000X
FLME97494208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice