Clara Lucila Alvarez Villalba, M.D.

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

ME102827 Issued in FL

Practice address

800 SE 4TH Ave Ste 808a
Hallandale Beach, FL 33009-6497

Phone

(305) 697-0176

Fax

(305) 912-0574

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brain X Dynamics LLC

  • Psychiatry Physician
  • Hallandale Beach, FL
  • NPI 1285441501
  NPD
• South Broward Hospital District

  dba Memorial Division of Critical Care

  • Critical Care Medicine (Internal Medicine) Physician
  • Hollywood, FL
  • NPI 1609884154
  NPD
• University of Miami

  dba UMiami Medicine - Psychiatry

  • Psychiatry Physician
  • Miami, FL
  • NPI 1437109048
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1497802839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SE 4TH AVE STE 808A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096497",
            "telephone_number": "305-697-0176",
            "fax_number": "305-912-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE 4TH AVE STE 808A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096497",
            "telephone_number": "305-697-0176",
            "fax_number": "305-912-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ VILLALBA",
        "first_name": "CLARA",
        "middle_name": "LUCILA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "243313",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "FL",
            "license": "ME102827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010497-00",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brainx@brainxdynamics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 SE 4th Ave Ste 808A",
            "city": "Hallandale Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330096497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Alon Davis MD PA
• Alternative Medical Healthcare Services, Corp.
• Emelyn Alvarez, PHARMD
• Lorena Alvarez, NP
• Peter Alvarez
• Always Classic Care of Broward County Inc
• Am Seaside Retirement Resort

• Psychosomatic Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Psychosomatic Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.