Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 25MA0776700 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA0776700 | NJ |
N | 207VX0000X | Obstetrician | 25MA0776700 | NJ |
NPI | 1003009473 |
---|---|
Provider Name | Dr. Jesus Rafael Alvarez-Perez |
First Address | Juncos, PR 00777-1815 |
Second Address | Hackensack, NJ 07601-1915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 17/02/2021 |