Kidyan Z Alvarado
Individual provider Active NPI Registered Nurse · Summerfield, FL
NPI 1700643152 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1700643152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 251J00000X (FL)
- Practice address
- 13534 SE 44TH Ter
Summerfield, FL 34491-2321 - Phone
- (321) 946-5349
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251J00000X | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 251J00000X | FL | Yes |
Addresses
Primary practice location
13534 SE 44TH Ter
Summerfield, FL 34491-2321
Mailing address
13534 SE 44TH Ter
Summerfield, FL 34491
Phone (321) 946-5349
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All providers in Summerfield, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.