Provider Demographics
NPI:1205672334
Name:ALVAREZ ORTIZ, JOE GIOVANNY
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:GIOVANNY
Last Name:ALVAREZ ORTIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LOS ANGELES
Mailing Address - Street 2:CALLE LIRA #70
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-217-0538
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 859
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-0859
Practice Address - Country:US
Practice Address - Phone:787-852-0768
Practice Address - Fax:787-716-7981
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17023-I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice