Provider Demographics
NPI:1275504490
Name:ALVAREZ, DIONICIO MANUEL
Entity Type:Individual
Prefix:DR
First Name:DIONICIO
Middle Name:MANUEL
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W HAGUE RD
Mailing Address - Street 2:SUITE 570
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5814
Mailing Address - Country:US
Mailing Address - Phone:915-544-7767
Mailing Address - Fax:915-532-6938
Practice Address - Street 1:125 W HAGUE RD
Practice Address - Street 2:SUITE 570
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5814
Practice Address - Country:US
Practice Address - Phone:915-544-7767
Practice Address - Fax:915-532-6938
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9705207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG9705OtherLICENSE
TXG9705OtherLICENSE