Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME150944 | FL |
Y | 111NI0900X | Internist | ME150944 | FL |
N | 207RG0300X | Geriatric Medicine | ME150944 | FL |
NPI | 1023541315 |
---|---|
Provider Name | Laura Cecilia Alvarez Orduz |
First Address | Oakland Park, FL 33334-4149 |
Second Address | Oakland Park, FL 33334-4149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 22/06/2021 |