Active NPI
Ninoska Socorro Alvarez, MSPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1376714691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20091
- Practice address
- 10475 Centurion Pkwy N
Suite 304
Jacksonville, FL 32256-5003 - Phone
- (904) 854-2050
- Fax
- (904) 854-2058
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20091 | FL | Primary |
Addresses
Primary practice location
10475 Centurion Pkwy N
Suite 304
Jacksonville, FL 32256-5003
Mailing address
1707 Copeland St Apt 7
Jacksonville, FL 32204-4614
Phone (305) 788-7506
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20091 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1376714691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 COPELAND ST APT 7",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044614",
"telephone_number": "305-788-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10475 CENTURION PKWY N",
"address_2": "SUITE 304",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565003",
"telephone_number": "904-854-2050",
"fax_number": "904-854-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "NINOSKA",
"middle_name": "SOCORRO",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "20091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.