Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME55208 | FL |
NPI | 1053379115 |
---|---|
Provider Name | Dr. Jaime Alvarez |
First Address | Miami, FL 33176-2308 |
Second Address | Miami, FL 33176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 07/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
377617401 | (05) | FL |
E80651 | (02) | FL |