MEDICARE: DR. JOSE E ALVAREZ-BERNAL 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	207RA0401X	Addiction Medicine (Internal Medicine) Physician	ME38971	FL
2	207R00000X	Internal Medicine Physician	ME0038971	FL

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

General Provider Information

NPI Number	:	1548313950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE E ALVAREZ-BERNAL M.D.

Provider Business Mailing Address
First Line	:	6408 N ARMENIA AVE STE B-1
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5770
Country	:	US
Telephone Number	:	813-352-8305
Fax Number	:	813-666-0509

Provider Business Practice Location Address
First Line	:	6408 N ARMENIA AVE STE B-1
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5770
Country	:	US
Telephone Number	:	813-352-8305
Fax Number	:	813-666-0509

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

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	05/27/2020

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Directions to “ DR. JOSE E ALVAREZ-BERNAL M.D.” Practice Location

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