Individual provider Active NPI

Wanda Virginia Alvira, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1922020726
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11664 Issued in PR
Practice address
832 W Central Blvd
Orlando, FL 32805-1809
Phone
(407) 723-4049
NPI assigned
Jul 24, 2006
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X ACN281 FL
Family Medicine Physician 207Q00000X 11664 PR Primary

Addresses

Primary practice location

832 W Central Blvd
Orlando, FL 32805-1809

Mailing address

10078 Silk Grass Dr
Orlando, FL 32827-7038
Phone (407) 579-1770

Other identifiers 1

IdentifierTypeStateIssuer
ACN281OtherFLMDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000711 FL Practitioner - Family Practice 3678641206

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10108 Shallow Marsh CT
Orlando, FL 32832-5954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11664PRMDFamily Medicine Physician
ACN281FLMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Oct 14, 2014 Accepting new patients
Florida Department of Health CurrentSince Oct 14, 2014 Accepting new patients
Centro Diangostico Integral PR Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6101 Lk Ellenor Dr
Orlando, FL 32809
Phone (407) 723-5029

832 W Central Blvd
Orlando, FL 32805
Phone (407) 836-2619

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1922020726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10078 SILK GRASS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277038",
            "telephone_number": "407-579-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 W CENTRAL BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051809",
            "telephone_number": "407-723-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIRA",
        "first_name": "WANDA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ACN281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDICAL LICENSE",
            "identifier": "ACN281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.