| R. Michael Alvarez, Dds, Inc. | |
|
2188 Peralta Blvd Ste D Fremont CA 94536-3941 | |
| (510) 713-6790 | |
| (510) 713-6794 |
| Full Name | R. Michael Alvarez, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2188 Peralta Blvd Ste D, Fremont, California |
| Authorized Official Name and Position | Lola Nieto (OFFICE MANAGER) |
| Authorized Official Contact | 5107136790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Michael Alvarez, Dds, Inc. 2188 Peralta Blvd Ste D Fremont CA 94536-3941 Ph: (510) 713-6790 | R. Michael Alvarez, Dds, Inc. 2188 Peralta Blvd Ste D Fremont CA 94536-3941 Ph: (510) 713-6790 |
| NPI Number | 1093414609 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Medicare PECOS PAC ID | 2567827694 |
|---|---|
| Medicare Enrollment ID | O20230615001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093414609 | NPI | - | NPPES |
| 1154461150 | Other | CA | DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Secondary |
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