Provider Demographics
NPI:1528666310
Name:BUENO ALVARADO, MARIA ALEJANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ALEJANDRA
Last Name:BUENO ALVARADO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 SW 2ND AVE APT 602
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2131
Mailing Address - Country:US
Mailing Address - Phone:786-449-9356
Mailing Address - Fax:
Practice Address - Street 1:1 ALHAMBRA PLZ STE 25
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5216
Practice Address - Country:US
Practice Address - Phone:786-349-3163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN254011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice