Provider Demographics
NPI:1649933722
Name:ALVAREZ, JUAN NOE (DC)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:NOE
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:JUAN
Other - Middle Name:NOE
Other - Last Name:ALVAREZ VAZQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20235 N CAVE CREEK RD # 104-472
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4424
Mailing Address - Country:US
Mailing Address - Phone:623-624-7007
Mailing Address - Fax:623-267-3707
Practice Address - Street 1:743 E BELL RD STE 5
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2636
Practice Address - Country:US
Practice Address - Phone:623-624-7007
Practice Address - Fax:623-267-3707
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty