Active NPI
Andrea Jade Alvarez, D.O.
- Emergency Medicine Physician
- Key West, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS12345
- Practice address
- 57 Palmetto Dr
Key West, FL 33040-5641 - Phone
- (305) 915-0529
- Fax
- (305) 701-4533
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS12345 | FL | Primary |
Addresses
Primary practice location
57 Palmetto Dr
Key West, FL 33040-5641
Mailing address
57 Palmetto Dr
Key West, FL 33040-5641
Phone (305) 915-0529
Other practice location 1
8201 W Broward Blvd
Dept of Emergency Medicine
Plantation, FL 33324-2701
Phone (954) 476-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012364800 | Medicaid | FL |
Other names 1
- Andrea Jade Betancourt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141029002271 | FL | Practitioner - Emergency Medicine | 2567683899 | Reassigns benefits to 5 organizations |
| I20260415003149 | LA | Practitioner - Emergency Medicine | 2567683899 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12345 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Md4Er LLC | Current | Accepting new patients | |
| Em Alliance LLC | Emergency Medicine | Current | Accepting new patients |
| Shi Keys LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531
3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
7 Easton Oval
#L4387
Columbus, OH 43219
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Emergency Medicine, FL
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Services of FL LLCRiver Oaks Emergency Group, LLCParagon Emergency Services LLC
Practice addresses (Care Compare)
325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6111
Hospital & facility affiliations
- Manatee Memorial Hospital
- Christus St Frances Cabrini Hospital
- HCA Florida Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733616000000",
"number": "1104262872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PALMETTO DR",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330405641",
"telephone_number": "305-915-0529",
"fax_number": "305-701-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PALMETTO DR",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330405641",
"telephone_number": "305-915-0529",
"fax_number": "305-701-4533"
}
],
"practiceLocations": [
{
"address_1": "8201 W Broward Blvd",
"address_2": "Dept of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333242701",
"country_code": "US",
"telephone_number": "954-476-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVAREZ",
"first_name": "ANDREA",
"middle_name": "JADE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2024-12-08",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS12345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012364800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BETANCOURT",
"middle_name": "JADE",
"credential": "D.O",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.