Provider Demographics
NPI:1417053315
Name:ALVAREZ RIVERA, JOSE RAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:RAUL
Last Name:ALVAREZ RIVERA
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:TORRE MEDICA AUXILIO MUTUO
Mailing Address - Street 2:735 PONCE DE LEON AVENUE SUITE 505
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919
Mailing Address - Country:US
Mailing Address - Phone:787-294-0350
Mailing Address - Fax:
Practice Address - Street 1:TORRE MEDICA AUXILIO MUTUO
Practice Address - Street 2:735 AVE PONCE DE LEON AVENUE SUITE 505
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5026
Practice Address - Country:US
Practice Address - Phone:787-294-0350
Practice Address - Fax:787-294-0352
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8517207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0028009OtherSSS
PR660362288OtherMCS
PR9250138OtherUL
PR5OtherFM
PR060040OtherCA