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NPI Code Detail

MEDICARE: DR. JOSE RAUL ALVAREZ RIVERA M.D.

MEDICARE: DR. JOSE RAUL ALVAREZ RIVERA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician8517PR

General Provider Information

NPI Number : 1417053315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE RAUL ALVAREZ RIVERA M.D.
Provider Business Mailing Address
First Line : TORRE MEDICA AUXILIO MUTUO
Second Line : 735 PONCE DE LEON AVENUE SUITE 505
City : SAN JUAN
State : PR
Zip : 00919
Country : US
Telephone Number : 787-294-0350
Fax Number :
Provider Business Practice Location Address
First Line : TORRE MEDICA AUXILIO MUTUO
Second Line : 735 AVE PONCE DE LEON AVENUE SUITE 505
City : SAN JUAN
State : PR
Zip : 00917-5026
Country : US
Telephone Number : 787-294-0350
Fax Number : 787-294-0352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 08/30/2019

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