MEDICARE: ERICA RENEE ALVAREZ GONZALEZ M.D.

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	207WX0107X	Retina Specialist (Ophthalmology) Physician	R7160	TX
2	207W00000X	Ophthalmology Physician	R7160	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255773313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA RENEE ALVAREZ GONZALEZ M.D.

Provider Business Mailing Address
First Line	:	3100 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-2503
Country	:	US
Telephone Number	:	915-200-1203
Fax Number	:	534-429-4340

Provider Business Practice Location Address
First Line	:	3100 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-2503
Country	:	US
Telephone Number	:	915-888-9145
Fax Number	:	534-429-4340

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

Provider Enumeration Date	:	07/18/2013
Last Update Date	:	04/26/2026

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