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NPI Code Detail

MEDICARE: DR. NELSON ALVAREZ - REYES MD

MEDICARE: DR. NELSON ALVAREZ - REYES 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
1207V00000XObstetrics & Gynecology PhysicianME99825FL

General Provider Information

NPI Number : 1912186354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NELSON ALVAREZ - REYES MD
Provider Business Mailing Address
First Line : 629 SW 4TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1971
Country : US
Telephone Number : 392-800-3028
Fax Number : 239-599-4893
Provider Business Practice Location Address
First Line : 629 SW 4TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1971
Country : US
Telephone Number : 392-800-3028
Fax Number : 239-599-4893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2007
Last Update Date : 04/07/2021

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