Individual provider Active NPI

Miguel A Alvarez, MD

  • Pediatrics Physician
  • Bradenton, FL
National Provider Identifier
1902838733
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME52889 Issued in FL
Practice address
8340 Lakewood Ranch Blvd
Suite 120
Bradenton, FL 34202-5180
Phone
(941) 907-9751
Fax
(941) 907-9554
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME52889 FL Primary

Addresses

Primary practice location

8340 Lakewood Ranch Blvd
Suite 120
Bradenton, FL 34202-5180

Mailing address

8340 Lakewood Ranch Blvd
Suite 120
Bradenton, FL 34202
Phone (941) 907-9751

Other identifiers 1

IdentifierTypeStateIssuer
050784900MedicaidFL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME52889FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Ranch Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1902838733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 120",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-907-9751",
            "fax_number": "941-907-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 120",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-907-9751",
            "fax_number": "941-907-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME52889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050784900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.