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Melisa Alvarez

Clinic/Center in Hialeah, FL. Individual provider (NPI-1).

NPI number1013667559
StatusActive
Last updated in NPPESApr 5, 2023

Details

NPI
1013667559
Entity type
Individual (NPI-1)
Name
Melisa Alvarez
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2022
Certification date
Apr 5, 2023
Last updated
Apr 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Centerhcc8011FLYes

Practice location

4178 W 12th Ave
Hialeah, FL 33012-4158

Phone 305-822-1894 · Fax 305-822-1895

Mailing address

4178 W 12th Ave
Hialeah, FL 33012-4158

Phone 305-822-1894

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