Provider Demographics
NPI:1265411003
Name:CARIZ, NEILA ALVAREZ (MD)
Entity type:Individual
Prefix:DR
First Name:NEILA
Middle Name:ALVAREZ
Last Name:CARIZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:NEILA
Other - Middle Name:D
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:960 MASSACHUSETTS AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:235 NORTH PEARL ST
Practice Address - Street 2:GSMC - PATHOLOGY DEPARTMENT
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-427-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153318207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274159800Medicaid
FLU6238ZMedicare PIN
FLG65635Medicare UPIN