Provider Demographics
NPI:1922033737
Name:ALVAREZ, FELIX NICOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:NICOLAS
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 1:722 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-7897
Mailing Address - Country:US
Mailing Address - Phone:386-676-9700
Mailing Address - Fax:386-677-9501
Practice Address - Street 1:722 S ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-7897
Practice Address - Country:US
Practice Address - Phone:386-676-9700
Practice Address - Fax:386-677-9501
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ322961Medicaid
AZZ121666Medicare PIN
AZZ121664Medicare PIN
AZ322961Medicaid
AZZ121667Medicare PIN
AZZ121665Medicare PIN