Healthcare Provider Details

I. General information

NPI: 1215862438
Provider Name (Legal Business Name): MARIE ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 W PALMERAS DR STE 223
SUN CITY AZ
85373-2011
US

IV. Provider business mailing address

11460 W MYSTIC SADIE DR
SURPRISE AZ
85378-6978
US

V. Phone/Fax

Practice location:
  • Phone: 563-508-4390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8897
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: