Provider Demographics
NPI:1841986981
Name:ALVAREZ, ALVIN NECTOR II
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:NECTOR
Last Name:ALVAREZ
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11816 GRAHAM ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-6157
Mailing Address - Country:US
Mailing Address - Phone:951-867-1623
Mailing Address - Fax:
Practice Address - Street 1:12981 PERRIS BLVD STE 106
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-4108
Practice Address - Country:US
Practice Address - Phone:951-485-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor