| Idalmis Alvarez Gomez Np Llc | |
|
1435 W 49th Pl Ste 201 Hialeah FL 33012-3147 | |
| (305) 828-4155 | |
| (305) 828-9339 |
| Full Name | Idalmis Alvarez Gomez Np Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1435 W 49th Pl Ste 201, Hialeah, Florida |
| Authorized Official Name and Position | Idalmis Alvarez Gomez (PRESIDENT) |
| Authorized Official Contact | 3058284155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idalmis Alvarez Gomez Np Llc 1435 W 49th Pl Ste 201 Hialeah FL 33012-3147 Ph: (305) 828-4155 | Idalmis Alvarez Gomez Np Llc 1435 W 49th Pl Ste 201 Hialeah FL 33012-3147 Ph: (305) 828-4155 |
| NPI Number | 1457985632 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457985632 | NPI | - | NPPES |
| 11004592 | Other | FL | APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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