Provider Demographics
NPI:1144973272
Name:ALVAREZ, ADELINA (RPH)
Entity type:Individual
Prefix:MS
First Name:ADELINA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19125 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-6129
Mailing Address - Country:US
Mailing Address - Phone:305-934-8251
Mailing Address - Fax:
Practice Address - Street 1:7400 NW 19TH ST STE F
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1217
Practice Address - Country:US
Practice Address - Phone:786-803-8483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist