MEDICARE: JAVIER ENRIQUE ALVAREZ RODRIGUEZ DC

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	111N00000X	Chiropractor	CH15092	FL

General Provider Information

NPI Number	:	1639908890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVIER ENRIQUE ALVAREZ RODRIGUEZ DC

Provider Business Mailing Address
First Line	:	3208 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2432
Country	:	US
Telephone Number	:	561-295-7661
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2432
Country	:	US
Telephone Number	:	561-295-7661
Fax Number	:

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

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	07/29/2024

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Directions to “ JAVIER ENRIQUE ALVAREZ RODRIGUEZ DC” Practice Location

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