MEDICARE: ORLANDO M ALVAREZ 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	207W00000X	Ophthalmology Physician	ME64962	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	:	1790783124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO M ALVAREZ MD

Provider Business Mailing Address
First Line	:	10052 SW STONEGATE DR
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34987-2424
Country	:	US
Telephone Number	:	434-203-0282
Fax Number	:

Provider Business Practice Location Address
First Line	:	746 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4754
Country	:	US
Telephone Number	:	434-250-6270
Fax Number	:

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	03/24/2021

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