Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 1035 | NC |
NPI | 1013022946 |
---|---|
Provider Name | Dr. Matthew F Alvarez |
First Address | Raleigh, NC 27607-6673 |
Second Address | Raleigh, NC 27607-6673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
135FA | BCBS OF NC (01) | NC |
7655488 | AETNA (01) | |
89135FA | (05) | NC |
9184165 | CIGNA (01) | |
C9680 | MEDCOST (01) | |
H99178 | (02) |