Provider Demographics
NPI:1992974521
Name:GARCIA-ALVAREZ, VICENTE (MD)
Entity type:Individual
Prefix:DR
First Name:VICENTE
Middle Name:
Last Name:GARCIA-ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VICENTE
Other - Middle Name:
Other - Last Name:GARCIA ALVAREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11501 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3313
Mailing Address - Country:US
Mailing Address - Phone:305-646-3716
Mailing Address - Fax:305-631-3828
Practice Address - Street 1:12515 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1870
Practice Address - Country:US
Practice Address - Phone:305-646-3716
Practice Address - Fax:305-631-3828
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107197207Q00000X
PR11876-I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program