| Edel Alvarez MD LLC | |
|
2878 Roosevelt Blvd Clearwater FL 33760-1923 | |
| (727) 474-3442 | |
| Not Available |
| Full Name | Edel Alvarez MD LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2878 Roosevelt Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Edel Alvarez (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7274743442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edel Alvarez MD LLC 5512 18th St Ne St Petersburg FL 33703-1731 Ph: (813) 453-7931 | Edel Alvarez MD LLC 2878 Roosevelt Blvd Clearwater FL 33760-1923 Ph: (727) 474-3442 |
| NPI Number | 1093393993 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Medicare PECOS PAC ID | 2567863228 |
|---|---|
| Medicare Enrollment ID | O20210701001716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093393993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Edel Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477930501 PECOS PAC ID: 8820396435 Enrollment ID: I20160421000110 |
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