Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 236267 | NY |
Y | 207N00000X | Dermatologist | OS10899 | FL |
NPI | 1043344112 |
---|---|
Provider Name | Dr. Marcy Shera Alvarez |
First Address | Miami Beach, FL 33139-2452 |
Second Address | Miami Beach, FL 33139-2452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 25/07/2016 |