Provider Demographics
NPI:1982909305
Name:ALVAREZ, WILFREDO JOSE (MD)
Entity type:Individual
Prefix:
First Name:WILFREDO
Middle Name:JOSE
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8500 SW 92ND ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7390
Mailing Address - Country:US
Mailing Address - Phone:305-270-8944
Mailing Address - Fax:305-270-8968
Practice Address - Street 1:8500 SW 92ND ST
Practice Address - Street 2:SUITE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7390
Practice Address - Country:US
Practice Address - Phone:305-270-8944
Practice Address - Fax:305-270-8968
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-15
Last Update Date:2013-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 70630207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG74863Medicare UPIN