Healthcare Provider Details
I. General information
NPI: 1427915057
Provider Name (Legal Business Name): ALVAREZ SURGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2600 NW PRAIRIE VIEW RD STE A
PLATTE CITY MO
64079-7622
US
IV. Provider business mailing address
8035 N MASTERN AVE
PARKVILLE MO
64152-4003
US
V. Phone/Fax
- Phone: 816-393-0110
- Fax:
- Phone: 786-853-9356
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
RAFAEL
ALVAREZ
Title or Position: OWNER
Credential: MD
Phone: 786-853-9356