Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 142540 | FL |
NPI | 1114244803 |
---|---|
Provider Name | Juan Pablo Alvarez |
First Address | Coral Gables, FL 33146-1842 |
Second Address | Coral Gables, FL 33146-1842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2010 |
Last Update Date | 29/10/2019 |