Idalmis Alvarez Gomez NP LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IDALMIS ALVAREZ GOMEZ NP LLC

Practice address

1435 W 49TH PL Ste 201
Hialeah, FL 33012-3147

Phone

(305) 828-4155

Fax

(305) 828-9339

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Idalmis Alvarez Gomez, APRN

Title

President

Phone

(305) 828-4155

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1457985632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "305-828-4155",
            "fax_number": "305-828-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "305-828-4155",
            "fax_number": "305-828-9339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5729 NW 151st St # 102",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142481",
            "country_code": "US",
            "telephone_number": "786-534-3044",
            "fax_number": "786-558-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDALMIS ALVAREZ GOMEZ NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ GOMEZ",
        "authorized_official_first_name": "IDALMIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-828-4155",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "11004592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.