Provider Demographics
NPI:1568846590
Name:ALVAREZ, JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:ALVAREZ
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 1:87 CARR 20 APT 1404
Mailing Address - Street 2:COND LA ARBOLEDA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-4058
Mailing Address - Country:US
Mailing Address - Phone:787-238-1192
Mailing Address - Fax:
Practice Address - Street 1:87 CARR 20 APT 1404
Practice Address - Street 2:CONDO LA ARBOLEDA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-4058
Practice Address - Country:US
Practice Address - Phone:787-238-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19142208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice