Provider Demographics
NPI:1033948252
Name:ALVAREZ, RYAN JOSE (PHARMD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:JOSE
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 S MILITARY TRL APT 2115
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7650
Mailing Address - Country:US
Mailing Address - Phone:305-305-5596
Mailing Address - Fax:
Practice Address - Street 1:9940 YAMATO RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5538
Practice Address - Country:US
Practice Address - Phone:561-488-9838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist