Healthcare Provider Details

I. General information

NPI: 1649933722
Provider Name (Legal Business Name): JUAN NOE ALVAREZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JUAN NOE ALVAREZ VAZQUEZ

II. Dates (important events)

Enumeration Date: 10/15/2021
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 E BELL RD STE 5
PHOENIX AZ
85022-2636
US

IV. Provider business mailing address

20235 N CAVE CREEK RD # 104-472
PHOENIX AZ
85024-4424
US

V. Phone/Fax

Practice location:
  • Phone: 623-624-7007
  • Fax: 623-267-3707
Mailing address:
  • Phone: 623-624-7007
  • Fax: 623-267-3707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9111
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: