Provider Demographics
NPI:1891073870
Name:GOMEZ ALVAREZ, CARLOS ANDRES (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ANDRES
Last Name:GOMEZ ALVAREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:LANE BUILDING ROOM 146
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-8222
Mailing Address - Fax:650-724-3395
Practice Address - Street 1:50 N MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-2200
Practice Address - Country:US
Practice Address - Phone:801-585-2031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2021-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA130377207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease