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NPI Code Detail

MEDICARE: MARIA DE LOURDES GOMEZ ALVAREZ MD

MEDICARE: MARIA DE LOURDES GOMEZ 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
1207R00000XInternal Medicine PhysicianME178388FL

General Provider Information

NPI Number : 1942902721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DE LOURDES GOMEZ ALVAREZ MD
Provider Business Mailing Address
First Line : 1700 S 23RD ST
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4803
Country : US
Telephone Number : 772-468-4554
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S 23RD ST
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4803
Country : US
Telephone Number : 772-461-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2023
Last Update Date : 03/04/2026

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