Provider Demographics
NPI:1356450050
Name:ALVAREZ-MERAZ, CARLOS E (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:ALVAREZ-MERAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CARLOS
Other - Middle Name:E
Other - Last Name:ALVAREZ-MERAZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 790324
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216
Mailing Address - Country:US
Mailing Address - Phone:210-614-3723
Mailing Address - Fax:210-614-3908
Practice Address - Street 1:7940 FLOYD CURL DR STE 600
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3907
Practice Address - Country:US
Practice Address - Phone:210-614-3723
Practice Address - Fax:210-614-3908
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1261174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142090301Medicaid
H30002Medicare UPIN
TX142090301Medicaid