Individual provider Active NPI

Miriam Yolanda Alvarado, M.D.

  • Pediatrics Physician
  • Royal Palm Beach, FL
National Provider Identifier
1689107286
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME157314 Issued in FL
Practice address
1402 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1691
Phone
(561) 650-5636
Fax
(561) 720-2528
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME157314 FL Primary

Addresses

Primary practice location

1402 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1691

Mailing address

1402 Royal Palm Beach Blvd Ste 700
Royal Palm Beach, FL 33411-1699
Phone (561) 650-5636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002438 NY Practitioner - Pediatric Medicine 6800213091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME157314FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Sep 2, 2020 Accepting new patients
Canton-Potsdam Hospital CurrentSince Sep 2, 2020 Accepting new patients
Soma Medical Center, P. a #4 Pediatrics Past Accepting new patients
Soma Medical Center, PA #4 Pediatrics Past Accepting new patients

Locations

80 E Main St
Canton, NY 13617
Phone (315) 261-6034

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AWCHU1

Organizations & group practices 4

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1689107286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD STE 700",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111699",
            "telephone_number": "561-650-5636",
            "fax_number": "561-720-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111691",
            "telephone_number": "561-650-5636",
            "fax_number": "561-720-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "MIRIAM",
        "middle_name": "YOLANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME157314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.