Provider Demographics
NPI:1699888586
Name:LIRIO, APOLONIO ALVAREZ III (DMD)
Entity type:Individual
Prefix:DR
First Name:APOLONIO
Middle Name:ALVAREZ
Last Name:LIRIO
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1878 STICKNEY POINT RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8847
Mailing Address - Country:US
Mailing Address - Phone:941-952-3476
Mailing Address - Fax:
Practice Address - Street 1:1878 STICKNEY POINT RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8847
Practice Address - Country:US
Practice Address - Phone:941-952-3476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036154122300000X
FLDN196921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist