Individual provider Active NPI

Jeanine Marie Gonzalez-Alvarez, OTR/L

  • Occupational Therapist
  • Homestead, FL
National Provider Identifier
1508013160
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 12814 Issued in FL
Practice address
1781 NW 3Rd Ave
Homestead, FL 33030-3164
Phone
(305) 321-7169
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 12814 FL Primary

Addresses

Primary practice location

1781 NW 3Rd Ave
Homestead, FL 33030-3164

Mailing address

1781 NW 3Rd Ave
Homestead, FL 33030-3164
Phone (305) 321-7169

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

LicenseStateTypeSpecialty
OT 12814FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Furthering Independence With Therapy Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1508013160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 NW 3RD AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303164",
            "telephone_number": "305-321-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 NW 3RD AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303164",
            "telephone_number": "305-321-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-ALVAREZ",
        "first_name": "JEANINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 12814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.