MEDICARE: DR. MARIA E ALVAREZ-KRIZAN 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	207RI0200X	Infectious Disease Physician	4301049507	MI
2	207R00000X	Internal Medicine Physician	ME115548	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110211206	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0430364	OTHER	MI	PHP/IBA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1101230041	OTHER	MI	BLUE CROSS BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457379059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA E ALVAREZ-KRIZAN MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	13691 METRO PKWY STE 330
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4322
Country	:	US
Telephone Number	:	239-236-7777
Fax Number	:	239-561-8051

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	02/10/2020

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Directions to “ DR. MARIA E ALVAREZ-KRIZAN MD” Practice Location

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