MEDICARE: FELIX ARIEL ALVAREZ DMD

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	1223G0001X	General Practice Dentistry	2362	PR

General Provider Information

NPI Number	:	1508925744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELIX ARIEL ALVAREZ DMD

Provider Business Mailing Address
First Line	:	1202 AVE PONCE DE LEON
Second Line	:	SUITE 1
City	:	SAN JUAN
State	:	PR
Zip	:	00907-0000
Country	:	US
Telephone Number	:	787-600-0630
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 AVE PONCE DE LEON
Second Line	:	SUITE 1
City	:	SAN JUAN
State	:	PR
Zip	:	00907-0000
Country	:	US
Telephone Number	:	787-600-0630
Fax Number	:

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	04/18/2016

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