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General NPI Number Information
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NPI Number | 1558445775
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Entity Type | Individual
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Provider Name | CARLOS E. ALVAREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 66 CALLE SANTA CRUZ STE 310
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City | BAYAMON
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State | PR
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Zip | 00961-7041
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Country | US
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Telephone | 787-740-5602
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Fax | 787-798-1446
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Provider Business Mailing Address
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Address Line | 66 CALLE SANTA CRUZ STE 310
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City | BAYAMON
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State | PR
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Zip | 00961-7041
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Country | US
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Telephone | 787-740-5602
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Fax | 787-798-1446
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5698
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License Number State | PR
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