Healthcare Provider Details

I. General information

NPI: 1689199036
Provider Name (Legal Business Name): ELOY DARIO TABEAYO ALVAREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PLACE TOWER 1, FLOOR 11
BRONX NY
10461
US

IV. Provider business mailing address

1250 WATERS PLACE TOWER 1, FLOOR 11
BRONX NY
10461
US

V. Phone/Fax

Practice location:
  • Phone: 347-577-4564
  • Fax: 347-577-4474
Mailing address:
  • Phone: 347-577-4564
  • Fax: 347-577-4474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number303838
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number303838
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: