Individual provider Active NPI

Raul A Alvarez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1053365692
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME51139 Issued in FL
Practice address
1272 NW 119TH St
Miami, FL 33167
Phone
(305) 685-5688
Fax
(305) 687-1817
NPI assigned
May 19, 2006
Last updated
May 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME51139 FL Primary

Addresses

Primary practice location

1272 NW 119TH St
Miami, FL 33167

Mailing address

14750 NW 77TH CT Ste 303
Miami Lakes, FL 33016-1537
Phone (305) 685-5688

Other practice location 1

7900 NW 27th Ave Ste 150
Miami, FL 33147-4909
Phone (305) 685-5688 ext. 1490

Other identifiers 1

IdentifierTypeStateIssuer
008612400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000796 FL Practitioner - Internal Medicine 0941471916 Practice locations: Miami, FL; Aventura, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: biscaynepark@direct.meditouchehr.com

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1053365692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 303",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161537",
            "telephone_number": "305-685-5688",
            "fax_number": "786-618-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 NW 119TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33167",
            "telephone_number": "305-685-5688",
            "fax_number": "305-687-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 NW 27th Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331474909",
            "country_code": "US",
            "telephone_number": "305-685-5688 x1490",
            "fax_number": "305-324-5989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "RAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008612400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.