MEDICARE: DR. JORGE A ALVAREZ DDS

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	DN15363	FL

General Provider Information

NPI Number	:	1679634232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE A ALVAREZ DDS

Provider Business Mailing Address
First Line	:	10395 GENTLEWOOD FOREST DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-4863
Country	:	US
Telephone Number	:	561-792-7766
Fax Number	:	561-784-9457

Provider Business Practice Location Address
First Line	:	8993 OKEECHOBEE BLVD
Second Line	:	SUITE 102
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-5144
Country	:	US
Telephone Number	:	561-792-7766
Fax Number	:	561-784-9457

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/08/2007

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