Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6965 | FL |
NPI | 1073693024 |
---|---|
Provider Name | Dr. Rose Marie Alvarez-Salvat |
First Address | Coral Gables, FL 33134-3822 |
Second Address | Miami, FL 33155-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 28/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75004 | BLUE CROSS BLUE SHIELD # (01) | FL |