Provider Demographics
NPI:1871732750
Name:ALVAREZ, MARTHA F (MFTI)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:F
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 453033
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33245-3033
Mailing Address - Country:US
Mailing Address - Phone:305-446-0333
Mailing Address - Fax:305-860-9244
Practice Address - Street 1:1000 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 113
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3353
Practice Address - Country:US
Practice Address - Phone:305-446-0333
Practice Address - Fax:305-860-9244
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT1194106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist