Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME0038971 | FL |
Y | 111NI0900X | Internist | ME0038971 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME38971 | FL |
NPI | 1548313950 |
---|---|
Provider Name | Dr. Jose E Alvarez-Bernal |
First Address | Tampa, FL 33604-5770 |
Second Address | Tampa, FL 33604-5770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 27/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D85532 | (02) | FL |