Basic Information
Provider Information
NPI: 1811956519
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVAREZ
FirstName: CARLOS
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 11913
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009221913
CountryCode: US
TelephoneNumber: 7879990753
FaxNumber: 7879990790
Practice Location
Address1: HOSPITAL ASHFORD
Address2: 1451 ASHFORD AVE CONDADO
City: SAN JUAN
State: PR
PostalCode: 00907
CountryCode: US
TelephoneNumber: 7877226004
FaxNumber: 7877226003
Other Information
ProviderEnumerationDate: 03/21/2006
LastUpdateDate: 12/31/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X6893PRY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207PP0204X6893PRN Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
208000000X6893PRN Allopathic & Osteopathic PhysiciansPediatrics 
2080A0000X6893PRN Allopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine

No ID Information.


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