OrganizationIdalmis Alvarez Gomez Np LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address1435 W 49th Pl Ste 201, Hialeah, FL 33012-3147(305) 828-4155PECOS EnrollmentBased on the most recent information from CMS, provider Idalmis Alvarez Gomez Np Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1457985632Provider TypeOrganizationFull NameIdalmis Alvarez Gomez Np LlcSubpartNoEnumeration Date2/26/2020Last Updated2/26/2020Contact InformationPractice LocationPractice Address1435 W 49th Pl Ste 201, Hialeah, FL 33012-3147Phone(305) 828-4155Fax(305) 828-9339Mailing LocationMailing Address1435 W 49th Pl Ste 201, Hialeah, FL 33012-3147Phone(305) 828-4155Fax(305) 828-9339Authorized OfficialNameAlvarez Gomez, Idalmis (President)Phone(305) 828-4155Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID11004592DescriptionOtherIssuerAPRN LICENSEFlorida