MEDICARE: PEDRO MIGUEL ALVAREZ FERNANDEZ APRN-CNP

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	363L00000X	Nurse Practitioner	1032435	TX
2	163W00000X	Registered Nurse	1032435	TX
3	246ZC0007X	Surgical Assistant	12-221	TX
4	246ZS0410X	Surgical Technologist	12-221	TX

General Provider Information

NPI Number	:	1285979716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO MIGUEL ALVAREZ FERNANDEZ APRN-CNP

Provider Business Mailing Address
First Line	:	320 SOUTHMORE AVE STE 328
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77502-1135
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	346-237-4052

Provider Business Practice Location Address
First Line	:	320 SOUTHMORE AVE STE 328
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77502-1135
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	346-237-4052

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

Provider Enumeration Date	:	12/10/2012
Last Update Date	:	01/22/2026

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