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NPI Code Detail

MEDICARE: DR. JORGE-LUIS ALVAREZ DMD

MEDICARE: DR. JORGE-LUIS ALVAREZ DMD
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
11223G0001XGeneral Practice DentistryDN12822FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942260708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE-LUIS ALVAREZ DMD
Provider Business Mailing Address
First Line : 926 GREAT POND DR STE 2003
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-7244
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 232 N ORANGE BLOSSOM TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32805-1612
Country : US
Telephone Number : 407-428-5751
Fax Number : 407-428-6204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 03/20/2017

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