Individual provider · NPI-1

Daniel Gonzalez Alvarez, PTA

Physical Therapy Assistant · Doral, FL

NPI number1508336967
StatusActive
Last updated in NPPESNov 28, 2018

Details

NPI
1508336967
Entity type
Individual (NPI-1)
Name
Daniel Gonzalez Alvarez
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 28, 2018
Last updated
Nov 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA28942FLYes

Practice location

10055 Nw 28th Ter
Doral, FL 33172-1333

Phone 786-715-4408

Mailing address

10055 Nw 28th Ter
Doral, FL 33172-1333

Phone 786-715-4408

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