Provider Demographics
NPI:1457379059
Name:ALVAREZ-KRIZAN, MARIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:E
Last Name:ALVAREZ-KRIZAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:E
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:13691 METRO PKWY STE 330
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4322
Practice Address - Country:US
Practice Address - Phone:239-236-7777
Practice Address - Fax:239-561-8051
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301049507207RI0200X
FLME115548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
110211206OtherRAILROAD MEDICARE
MI0430364OtherPHP/IBA
MI3441804Medicaid
MI4937920Medicaid
MI1101230041OtherBLUE CROSS BLUE SHIELD
MI1920651Medicaid
MI3441804Medicaid
MI0A26004006Medicare PIN
MI1101230041OtherBLUE CROSS BLUE SHIELD
MI1920651Medicaid