Provider Demographics
NPI:1245601285
Name:CARLOS A. ALVAREZ, M.D., INC
Entity Type:Organization
Organization Name:CARLOS A. ALVAREZ, M.D., INC
Other - Org Name:CARLOS A. ALVAREZ, M.D., INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-746-7244
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-0640
Mailing Address - Country:US
Mailing Address - Phone:661-473-1753
Mailing Address - Fax:866-547-8781
Practice Address - Street 1:8929 PANAMA RD
Practice Address - Street 2:
Practice Address - City:LAMONT
Practice Address - State:CA
Practice Address - Zip Code:93241-1647
Practice Address - Country:US
Practice Address - Phone:661-473-1753
Practice Address - Fax:866-547-8781
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARLOS A. ALVAREZ., MD., INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-16
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA042986OtherMEDICAL LICENSE
CAA63412Medicare UPIN