Individual provider Active NPI

Andres Manuel Alava, ARNP

  • Family Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1528458171
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9311003 Issued in FL
Practice address
21097 NE 27TH CT
Suite 350
Aventura, FL 33180-1204
Phone
(305) 974-5533
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9311003 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT
Suite 350
Aventura, FL 33180-1204

Mailing address

9218 SW 39TH St
Miramar, FL 33025-7353
Phone (562) 453-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170512001742 FL Practitioner - Nurse Practitioner 7810215415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Gonzalez, MD, LLC CurrentSince Nov 14, 2016 Accepting new patients

Locations

1928 Tyler St
Hollywood, FL 33020
Phone (305) 974-5543

21097 NE 27th Ct
Ste 320
Miami, FL 33180
Phone (305) 933-8465

21097 NE 27th Ct
Ste 350
Miami, FL 33180
Phone 3059745533 ext. 97455

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1528458171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 SW 39TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257353",
            "telephone_number": "562-453-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT",
            "address_2": "SUITE 350",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801204",
            "telephone_number": "305-974-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVA",
        "first_name": "ANDRES",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9311003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.