Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME70997 | FL |
Y | 2080P0208X | Pediatric Infectious Diseases | ME70997 | FL |
NPI | 1215906318 |
---|---|
Provider Name | Dr. Ana Mabel Alvarez |
First Address | Jacksonville, FL 32231-4008 |
Second Address | Jacksonville, FL 32209-6511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 24/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000712841B | (05) | GA |
2505177-00 | (05) | FL |
G38478 | (02) | FL |