Organization Active NPI

Paz Alvarez LLC

  • Adult Medicine Physician
  • Hollywood, FL
National Provider Identifier
1780176032
Registry record updated Jun 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME106010 Issued in FL
Legal business name
PAZ ALVAREZ LLC
Practice address
9700 Stirling Rd Ste 107
Hollywood, FL 33024-8011
Phone
(754) 260-5880
Fax
(754) 260-5881
NPI assigned
Jun 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2018

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

Authorized official

Name
Alden Alvarez, MDNPI 1558545822
Title
Owner
Phone
(754) 260-5880

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
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X ME106010 FL Primary

Addresses

Primary practice location

9700 Stirling Rd Ste 107
Hollywood, FL 33024-8011

Mailing address

500 Bayview Dr Apt 631
Sunny Isles Beach, FL 33160-4777
Phone (786) 537-9041

Other names 1

  • Paz Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190405000465 FL Part B Supplier - Clinic/Group Practice 9931440690 Receives reassigned benefits from 2 practitioners
Practice locations: Cooper City, FL; Hollywood, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2151257Paz Alvarez, LLC9700 Stirling Road Ste 106 - 107B, Cooper City, FL 33024Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Locations

9700 Stirling Rd
Ste 106107B
Hollywood, FL 33024
Phone (754) 260-5880

9700 Stirling Rd
Ste 107B
Hollywood, FL 33024
Phone (754) 260-5880

9700 Stirling Rd
Ste 107
Hollywood, FL 33024
Phone (754) 260-5880

Practitioners & affiliated clinicians

Practitioners 3

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": "1527897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527897600000",
    "number": "1780176032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BAYVIEW DR APT 631",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604777",
            "telephone_number": "786-537-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 STIRLING RD STE 107",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248011",
            "telephone_number": "754-260-5880",
            "fax_number": "754-260-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAZ ALVAREZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-06-02",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-260-5880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME106010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paz Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.