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Individual

ALVARO JOSE ALTAMIRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
15225 NW 77TH AVE, MIAMI LAKES, FL 33014-7804
(305) 230-4821
(888) 498-3163
Mailing address
4353 NW 77TH AVE FL 3, MIAMI, FL 33166-6736
(305) 204-0333
(305) 359-7546

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME109107
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003306400
FL
05
EU080Z
FL
Enumeration date
12/02/2010
Last updated
04/21/2026
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