Provider Demographics
NPI:1740758416
Name:ALVAREZ, SILVERIO DE JESUS (MS, MHS, PA-C)
Entity Type:Individual
Prefix:
First Name:SILVERIO
Middle Name:DE JESUS
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MS, MHS, PA-C
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Mailing Address - Street 1:81767 DR CARREON BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5599
Mailing Address - Country:US
Mailing Address - Phone:760-775-4181
Mailing Address - Fax:760-775-4818
Practice Address - Street 1:552 S PASEO DOROTEA STE 2
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-1437
Practice Address - Country:US
Practice Address - Phone:760-320-6988
Practice Address - Fax:760-320-9796
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-10
Last Update Date:2024-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA56284363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant