Healthcare Provider Details

I. General information

NPI: 1487090858
Provider Name (Legal Business Name): RAFAEL ALVAREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2013
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:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2022034246
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number2022034246
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: