Provider Demographics
NPI:1992984769
Name:ALTERNATIVE INTEGRATED HEALTH OPTIONS INC
Entity type:Organization
Organization Name:ALTERNATIVE INTEGRATED HEALTH OPTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CESAR
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-436-7122
Mailing Address - Street 1:2155 NE MIAMI GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-5051
Mailing Address - Country:US
Mailing Address - Phone:788-436-7122
Mailing Address - Fax:305-937-2361
Practice Address - Street 1:2155 NE MIAMI GARDENS DR
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-5051
Practice Address - Country:US
Practice Address - Phone:788-436-7122
Practice Address - Fax:305-937-2361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3085972363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306140000Medicaid
FL306140000Medicaid