Odelaisys Alvarez Diaz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56926 Issued in FL

Practice address

925 NW 136TH Ave
Miami, FL 33182-2602

Phone

(786) 560-8914

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1477205458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822602",
            "telephone_number": "786-560-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822602",
            "telephone_number": "786-560-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ DIAZ",
        "first_name": "ODELAISYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-56926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-21-56926",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRESS",
            "affiliation": "N",
            "endpointDescription": "ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ADDRESS",
            "address_1": "925 NW 136th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331822602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lizlaura Alvarez de la Campa Diaz
• Alan Jose Alvarez de Sotomayor, MD
• Alvarez Diaz Pediatrics Corp
• Lisset Alvarez Diaz
• Nicole Angelina Alvarez Diaz
• Ramiro Alvarez Diaz, MD
• Yira Alexandra Alvarez Diaz
• Tamara Alvarez Dominguez
• Yerlin Alvarez Dominguez
• Ardo Alvarez Elizundia, APRN

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.