Provider Demographics
NPI:1932582210
Name:ALVAREZ, MIRIAM TATIANA (DNP, FNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:TATIANA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DNP, FNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13709 SW 176TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6431
Mailing Address - Country:US
Mailing Address - Phone:786-291-3642
Mailing Address - Fax:
Practice Address - Street 1:4800 W FLAGLER ST STE 106
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1400
Practice Address - Country:US
Practice Address - Phone:786-291-3642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-03
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9325882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily