Healthcare Provider Details

I. General information

NPI: 1063379980
Provider Name (Legal Business Name): MY WEIGHT FIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
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

Practice location:
  • Phone: 816-393-0110
  • Fax:
Mailing address:
  • Phone: 786-853-9356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: RAFAEL ALVAREZ
Title or Position: OWNER
Credential: MD
Phone: 786-853-9356