Provider Demographics
NPI:1689107286
Name:ALVARADO, MIRIAM YOLANDA (MD)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:YOLANDA
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 ROYAL PALM BEACH BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1699
Mailing Address - Country:US
Mailing Address - Phone:561-650-5636
Mailing Address - Fax:561-720-2528
Practice Address - Street 1:1402 ROYAL PALM BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1691
Practice Address - Country:US
Practice Address - Phone:561-650-5636
Practice Address - Fax:561-720-2528
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME157314208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06131960Medicaid