Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 25MA10427600 | NJ |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD048480L | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | 25MA10427600 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | MD048480L | PA |
NPI | 1568441129 |
---|---|
Provider Name | Dr. Rene J. Alvarez JR. |
First Address | Philadelphia, PA 19107-4216 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 27/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1590538 | (05) | PA |
F70445 | (02) | PA |