| Alvarez Medical Center Llc | |
|
5265 Park Blvd N Ste 101 Pinellas Park FL 33781-3451 | |
| (813) 462-1193 | |
| Not Available |
| Full Name | Alvarez Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 5265 Park Blvd N Ste 101, Pinellas Park, Florida |
| Authorized Official Name and Position | Gilberto A Iniguez (OWNER) |
| Authorized Official Contact | 8134621193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alvarez Medical Center Llc 5265 Park Blvd N Ste 101 Pinellas Park FL 33781-3451 Ph: (813) 462-1193 | Alvarez Medical Center Llc 5265 Park Blvd N Ste 101 Pinellas Park FL 33781-3451 Ph: (813) 462-1193 |
| NPI Number | 1477242014 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 1456717941 |
|---|---|
| Medicare Enrollment ID | O20230526000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477242014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gilberto Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598303984 PECOS PAC ID: 8224449608 Enrollment ID: I20201117000779 |
| Provider Name | Wagner Vaz Guimaraes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659786044 PECOS PAC ID: 8426489535 Enrollment ID: I20240521002909 |
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