Organization Active NPI

Manuel E Alvarez PHD PA

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1710183553
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3272 Issued in FL
Legal business name
MANUEL E ALVAREZ PHD PA
Practice address
7700 N Kendall Dr Ste 415
Miami, FL 33156-7565
Phone
(305) 274-2403
Fax
(305) 274-2433
NPI assigned
Jun 26, 2007
Organization subpart
No

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

Authorized official

Name
Dr. Manuel E. Alvarez, PH.D.NPI 1689618647
Title
President
Phone
(305) 274-2403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY3272 FL Primary

Addresses

Primary practice location

7700 N Kendall Dr Ste 415
Miami, FL 33156-7565

Mailing address

7700 N Kendall Dr Ste 415
Miami, FL 33156-7565
Phone (305) 274-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000595 FL Part B Supplier - Clinic/Group Practice 1557449519 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1710183553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR STE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567565",
            "telephone_number": "305-274-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR STE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567565",
            "telephone_number": "305-274-2403",
            "fax_number": "305-274-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL E ALVAREZ PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-274-2403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.