MEDICARE: RAUL A ALVAREZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME51139	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053365692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAUL A ALVAREZ MD

Provider Business Mailing Address
First Line	:	14750 NW 77TH CT STE 303
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-1537
Country	:	US
Telephone Number	:	305-685-5688
Fax Number	:	786-618-5307

Provider Business Practice Location Address
First Line	:	1272 NW 119TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33167
Country	:	US
Telephone Number	:	305-685-5688
Fax Number	:	305-687-1817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	05/17/2018

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Directions to “ RAUL A ALVAREZ MD” Practice Location

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