Healthcare Provider Details

I. General information

NPI: 1306540943
Provider Name (Legal Business Name): MARIA AUXILIADORA ALVARENGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 WORNALL RD
KANSAS CITY MO
64111-3201
US

IV. Provider business mailing address

4330 WORNALL RD MEDICAL PLAZA II, STE 65
KANSAS CITY MO
64111-3201
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-6100
  • Fax: 816-932-9002
Mailing address:
  • Phone: 816-932-6100
  • Fax: 816-932-9002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2023031406
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: