Basic Information
| Provider Information | |||||||||
| NPI: | 1346262789 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALVAREZ-FARINETTI | ||||||||
| FirstName: | ALVARO | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1031 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328023822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078727786 | ||||||||
| FaxNumber: | 4078723630 | ||||||||
| Practice Location | |||||||||
| Address1: | 60 MEMORIAL MEDICAL PKWY | ||||||||
| Address2: | |||||||||
| City: | PALM COAST | ||||||||
| State: | FL | ||||||||
| PostalCode: | 321645980 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3865862060 | ||||||||
| FaxNumber: | 3865864659 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2006 | ||||||||
| LastUpdateDate: | 04/26/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME90043 | FL | N | Other Service Providers | Specialist | 2085R0001X | ME90043 | FL | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.