Provider Demographics
NPI:1417447988
Name:ALVAREZ, JOSE FEDERICO JR (MS)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:FEDERICO
Last Name:ALVAREZ
Suffix:JR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4795 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5216
Mailing Address - Country:US
Mailing Address - Phone:602-350-0834
Mailing Address - Fax:561-855-7084
Practice Address - Street 1:4795 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5216
Practice Address - Country:US
Practice Address - Phone:602-350-0834
Practice Address - Fax:561-855-7084
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAL51352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer