Individual provider Active NPI

Alvaro L Madriz, P.A.

  • Surgical Physician Assistant
  • Miami Lakes, FL
National Provider Identifier
1033222856
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9100379 Issued in FL
Practice address
15175 Eagle Nest LN
Suite #108
Miami Lakes, FL 33014-2244
Phone
(305) 824-1107
Fax
(305) 558-0570
NPI assigned
Aug 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9100379 FL
Surgical Physician Assistant 363AS0400X PA9100379 FL Primary

Addresses

Primary practice location

15175 Eagle Nest LN
Suite #108
Miami Lakes, FL 33014-2244

Mailing address

15175 Eagle Nest LN
Suite #108
Miami Lakes, FL 33014-2244
Phone (305) 824-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9100379FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Surgical Services, Inc. Surgical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033222856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15175 EAGLE NEST LN",
            "address_2": "SUITE #108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142244",
            "telephone_number": "305-824-1107",
            "fax_number": "305-558-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15175 EAGLE NEST LN",
            "address_2": "SUITE #108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142244",
            "telephone_number": "305-824-1107",
            "fax_number": "305-558-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIZ",
        "first_name": "ALVARO",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100379",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9100379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.