Provider Demographics
NPI:1225071467
Name:ALVAREZ, ROBERTO DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:DAVID
Last Name:ALVAREZ
Suffix:
Gender:M
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:PO BOX 2023
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-2023
Mailing Address - Country:US
Mailing Address - Phone:787-735-8998
Mailing Address - Fax:787-735-7135
Practice Address - Street 1:EDIF. PROFESIONAL HOSPITAL MENONITA SUITE 201
Practice Address - Street 2:BOX 1379
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-1379
Practice Address - Country:US
Practice Address - Phone:787-735-8998
Practice Address - Fax:787-735-7135
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6930207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79786Medicare UPIN
PR28837Medicare ID - Type Unspecified