Provider Demographics
NPI:1376597260
Name:ALVAREZ, RAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3601 S CLARKSON ST STE 520
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3949
Mailing Address - Country:US
Mailing Address - Phone:303-346-7777
Mailing Address - Fax:303-346-7778
Practice Address - Street 1:3601 S CLARKSON ST STE 520
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3949
Practice Address - Country:US
Practice Address - Phone:303-346-7777
Practice Address - Fax:303-346-7778
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR23836207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO#65551346Medicaid
COC807903Medicare PIN
CO#65551346Medicaid