Active NPI
Elizabeth Alvarez Connelly, M.D.
- Specialist
- Miami, FL
National Provider Identifier
1740265339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME92502
- Practice address
- 6310 Sunset Dr
Miami, FL 33143-4823 - Phone
- (305) 669-2799
- Fax
- (305) 662-5895
- NPI assigned
- Dec 7, 2005
- Last updated
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME92502 | FL | Primary |
Addresses
Primary practice location
6310 Sunset Dr
Miami, FL 33143-4823
Mailing address
6310 Sunset Dr
Miami, FL 33143-4823
Phone (305) 669-2799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2719541-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunset Dermatology Skin, Laser & Vein Center, P.a. | Past | Accepting new patients | |
| The Derm Group LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Procedural Dermatology Physician
- South Miami, FL
- NPI 1528075645
-
- Dermatology Physician
- Coral Gables, FL
- NPI 1801448519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1740265339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 SUNSET DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331434823",
"telephone_number": "305-669-2799",
"fax_number": "305-662-5895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 SUNSET DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331434823",
"telephone_number": "305-669-2799",
"fax_number": "305-662-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ CONNELLY",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME92502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2719541-00",
"state": "FL"
}
],
"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 Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.