Individual provider Active NPI

Juan Pablo Alvarez, M.D

  • Reproductive Endocrinology Physician
  • Coral Gables, FL
National Provider Identifier
1114244803
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
142540 Issued in FL
Practice address
4425 Ponce de Leon Blvd Ste 110
Coral Gables, FL 33146-1842
Phone
(305) 446-4673
NPI assigned
Apr 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 142540 FL Primary

Addresses

Primary practice location

4425 Ponce de Leon Blvd Ste 110
Coral Gables, FL 33146-1842

Mailing address

4425 Ponce de Leon Blvd Ste 110
Coral Gables, FL 33146-1842
Phone (305) 446-4673

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
142540FLMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vios Fertility Institute Chicago Single Specialty Past Accepting new patients
Peach State Medical Practice, PC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1114244803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD STE 110",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461842",
            "telephone_number": "305-446-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD STE 110",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461842",
            "telephone_number": "305-446-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "142540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.