Provider Demographics
NPI:1689199036
Name:TABEAYO ALVAREZ, ELOY DARIO (MD)
Entity Type:Individual
Prefix:
First Name:ELOY
Middle Name:DARIO
Last Name:TABEAYO ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1250 WATERS PLACE
Mailing Address - Street 2:TOWER 1, FLOOR 11
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:347-577-4564
Mailing Address - Fax:347-577-4474
Practice Address - Street 1:1250 WATERS PLACE
Practice Address - Street 2:TOWER 1, FLOOR 11
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:347-577-4564
Practice Address - Fax:347-577-4474
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY303838207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery