Provider Demographics
NPI:1366964181
Name:ALVAREZ ALVAREZ, FELIX ANGEL
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:ANGEL
Last Name:ALVAREZ ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 SW 142ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4323
Mailing Address - Country:US
Mailing Address - Phone:786-381-7862
Mailing Address - Fax:
Practice Address - Street 1:6501 NW 36TH ST STE 411
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6964
Practice Address - Country:US
Practice Address - Phone:786-522-7203
Practice Address - Fax:786-522-7204
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FL171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician