Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 9427 | PR |
NPI | 1336238344 |
---|---|
Provider Name | Dr. Jose Alvarez |
First Address | San Juan, PR 00936-7148 |
Second Address | San Juan, PR 00907-3918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 08/07/2007 |