Individual provider Active NPI

Manuel E Alvarez, PHD PA

  • Cognitive & Behavioral Psychologist
  • Miami, FL
National Provider Identifier
1689618647
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PY3272 Issued in FL
Practice address
7700 N Kendall Dr
Suite 415
Miami, FL 33156-7564
Phone
(305) 274-2403
Fax
(305) 274-2433
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PY3272 FL Primary

Addresses

Primary practice location

7700 N Kendall Dr
Suite 415
Miami, FL 33156-7564

Mailing address

7700 N Kendall Dr
Suite 415
Miami, FL 33156-7564
Phone (305) 274-2403

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000343 FL Practitioner - Clinical Psychologist 1153429691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7700 N Kendall Dr
Suite 512
Miami, FL 33156-7567
Phone (305) 274-2403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY3272FLMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel E Alvarez PHD PA CurrentSince Feb 18, 2012 Accepting new patients

Locations

7700 N Kendall Dr
Ste 512
Miami, FL 33156
Phone (305) 274-2403

7700 N Kendall Dr
Ste 415
Miami, FL 33156
Phone (305) 274-2403

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1689618647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR",
            "address_2": "SUITE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567564",
            "telephone_number": "305-274-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR",
            "address_2": "SUITE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567564",
            "telephone_number": "305-274-2403",
            "fax_number": "305-274-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "MANUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.