Provider Demographics
NPI:1508925744
Name:ALVAREZ, FELIX ARIEL (DMD)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:ARIEL
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 AVE PONCE DE LEON
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-0000
Mailing Address - Country:US
Mailing Address - Phone:787-600-0630
Mailing Address - Fax:
Practice Address - Street 1:1202 AVE PONCE DE LEON
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-0000
Practice Address - Country:US
Practice Address - Phone:787-600-0630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice