Provider Demographics
NPI:1124165303
Name:ALVAREZ, MARIA J I (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:J
Last Name:ALVAREZ
Suffix:I
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14060 SW 39TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6423
Mailing Address - Country:US
Mailing Address - Phone:305-444-8591
Mailing Address - Fax:305-444-6988
Practice Address - Street 1:747 PONCE DE LEON BLVD STE 401
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2073
Practice Address - Country:US
Practice Address - Phone:305-444-8591
Practice Address - Fax:305-444-6988
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN176381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice