Healthcare Provider Details

I. General information

NPI: 1477242014
Provider Name (Legal Business Name): ALVAREZ MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5265 PARK BLVD N STE 101
PINELLAS PARK FL
33781-3451
US

IV. Provider business mailing address

5265 PARK BLVD N STE 101
PINELLAS PARK FL
33781-3451
US

V. Phone/Fax

Practice location:
  • Phone: 813-462-1193
  • Fax:
Mailing address:
  • Phone: 813-462-1193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: GILBERTO A INIGUEZ
Title or Position: OWNER
Credential: MD
Phone: 813-462-1193