MEDICARE: SANTIAGO ALVAREZ HMD. RCP.

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	173F00000X	Sleep Specialist (PhD)
2	175F00000X	Naturopath
3	175L00000X	Homeopath
4	2278P1004X	Pulmonary Diagnostics Certified Respiratory Therapist	RCP12108	CA
5	2278P1006X	Pulmonary Function Technologist Certified Respiratory Therapist	12108	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RCP 12108	OTHER	CA	LICENSE

General Provider Information

NPI Number	:	1225180540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANTIAGO ALVAREZ HMD. RCP.

Provider Business Mailing Address
First Line	:	22635 ALESSANDRO BLVD
Second Line	:	SUITE B
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-8550
Country	:	US
Telephone Number	:	951-653-5300
Fax Number	:	951-653-5346

Provider Business Practice Location Address
First Line	:	22635 ALESSANDRO BLVD
Second Line	:	SUITE B
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-8550
Country	:	US
Telephone Number	:	951-653-5300
Fax Number	:	951-653-5346

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	03/28/2012

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Directions to “ SANTIAGO ALVAREZ HMD. RCP.” Practice Location

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