Organization Active NPI

Fredesvinda Jacobs-Alvarez MD PLLC

  • Child & Adolescent Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1861557936
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME79634 Issued in FL
Legal business name
FREDESVINDA JACOBS-ALVAREZ MD PLLC
Practice address
7350 Futures Dr
Suite 16
Orlando, FL 32819-9083
Phone
(407) 226-3733
Fax
(407) 226-3734
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Fredesvinda Jacobs-AlvarezNPI 1063468668
Title
President/Ceo
Phone
(407) 226-3733

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X ME79634 FL Primary

Addresses

Primary practice location

7350 Futures Dr
Suite 16
Orlando, FL 32819-9083

Mailing address

7350 Futures Dr Ste 16
Orlando, FL 32819-9084
Phone (407) 226-3733

Other identifiers 1

IdentifierTypeStateIssuer
271060900MedicaidFL

Other names 1

  • Esperanza Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jacobs-Alvarez.Fredesvinda.002.0090075@ebhs.meditab.direct-ci.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070307000626 FL Part B Supplier - Clinic/Group Practice 0446353718 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

8751 Commodity Cir
Ste 7
Orlando, FL 32819
Phone (407) 226-3733

8853 Commodity Cir
Ste 7
Orlando, FL 32819
Phone (407) 226-3733

Interoperability endpoints

  • Direct secure messaging: jacobs-alvarez.fredesvinda.002.0090075@ebhs.meditab.direct-ci.com

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1861557936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 FUTURES DR STE 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199084",
            "telephone_number": "407-226-3733",
            "fax_number": "407-226-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 FUTURES DR",
            "address_2": "SUITE 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199083",
            "telephone_number": "407-226-3733",
            "fax_number": "407-226-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDESVINDA JACOBS-ALVAREZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "JACOBS-ALVAREZ",
        "authorized_official_first_name": "FREDESVINDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "407-226-3733"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME79634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271060900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacobs-Alvarez.Fredesvinda.002.0090075@ebhs.meditab.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7350 Futures Dr",
            "address_2": "Suite 16",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Esperanza Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Esperanza Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.