Provider Demographics
NPI:1225180540
Name:ALVAREZ, SANTIAGO (HMD RCP)
Entity Type:Individual
Prefix:
First Name:SANTIAGO
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:HMD RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22635 ALESSANDRO BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-8550
Mailing Address - Country:US
Mailing Address - Phone:951-653-5300
Mailing Address - Fax:951-653-5346
Practice Address - Street 1:22635 ALESSANDRO BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-8550
Practice Address - Country:US
Practice Address - Phone:951-653-5300
Practice Address - Fax:951-653-5346
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
173F00000X, 175F00000X, 175L00000X
CARCP121082278P1004X
CA121082278P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No173F00000XOther Service ProvidersSleep Specialist, PhD
No175L00000XOther Service ProvidersHomeopath
No2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Diagnostics
No2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARCP 12108OtherLICENSE
CAFP183AMedicare PIN