MEDICARE: NILKA Y. 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	208000000X	Pediatrics Physician	11013	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83258	OTHER	PR	MEDICAL PLAN PROVIDER NUM
2	9790025	OTHER	PR	MEDICAL PLAN PROVIDER NUM

General Provider Information

NPI Number	:	1407804438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILKA Y. ALVAREZ MD

Provider Business Mailing Address
First Line	:	13 CAMINO LOS BAEZ
Second Line	:	COND. EL BOSQUEAPT. 611
City	:	GUAYNABO
State	:	PR
Zip	:	00971-9633
Country	:	US
Telephone Number	:	787-251-2508
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 CAMINO LOS BAEZ
Second Line	:	COND. EL BOSQUE APT. 611
City	:	GUAYNABO
State	:	PR
Zip	:	00971-9633
Country	:	US
Telephone Number	:	787-251-2508
Fax Number	:

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/19/2012

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