Provider Demographics
NPI:1811781362
Name:ALVAREZ, FELIX DELOS SANTOS
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:DELOS SANTOS
Last Name:ALVAREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 GULF AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501-3436
Mailing Address - Country:US
Mailing Address - Phone:615-733-9765
Mailing Address - Fax:
Practice Address - Street 1:13150 PONCE DE LEON DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2460
Practice Address - Country:US
Practice Address - Phone:833-355-2161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS925439163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse