Provider Demographics
NPI:1699258004
Name:ALVAREZ RIVERA, JUAN H (ARPN)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:H
Last Name:ALVAREZ RIVERA
Suffix:
Gender:M
Credentials:ARPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8660 W FLAGLER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2033
Mailing Address - Country:US
Mailing Address - Phone:786-366-0140
Mailing Address - Fax:786-353-9905
Practice Address - Street 1:8660 W FLAGLER ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2033
Practice Address - Country:US
Practice Address - Phone:305-456-6393
Practice Address - Fax:786-353-9905
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9424478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty