Healthcare Provider Details

I. General information

NPI: 1598303984
Provider Name (Legal Business Name): GILBERTO ALVAREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GILBERTO ALVAREZ INIGUEZ MD

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13191 STARKEY RD STE 11
LARGO FL
33773-1438
US

IV. Provider business mailing address

13191 STARKEY RD STE 11
LARGO FL
33773-1438
US

V. Phone/Fax

Practice location:
  • Phone: 619-571-3380
  • Fax:
Mailing address:
  • Phone: 619-571-3380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1289
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number021627
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: