MEDICARE: ISABELLA ALVAREZ GUTIERREZ PA-C

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	363A00000X	Physician Assistant	9121826	FL

General Provider Information

NPI Number	:	1831022771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLA ALVAREZ GUTIERREZ PA-C

Provider Business Mailing Address
First Line	:	1503 N WINDSOR DR APT 101
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2253 GREEN HEDGES WAY STE 101
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-6969
Country	:	US
Telephone Number	:	813-771-6851
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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