Individual provider Active NPI

Luis Antonio Garcia Alvarado, NP

  • Family Nurse Practitioner
  • Wimauma, FL
National Provider Identifier
1194432955
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022797 Issued in FL
Practice address
10838 Standing Stone Dr
Wimauma, FL 33598-6161
Phone
(813) 802-5932
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022797 FL Primary

Addresses

Primary practice location

10838 Standing Stone Dr
Wimauma, FL 33598-6161

Mailing address

10838 Standing Stone Dr
Wimauma, FL 33598-6161
Phone (813) 802-5932

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11022797FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1194432955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10838 STANDING STONE DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986161",
            "telephone_number": "813-802-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 STANDING STONE DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986161",
            "telephone_number": "813-802-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA ALVARADO",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.