| Doctor Name: | DR. EDEL ALVAREZ |
| NPI Number: | 1477930501 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ACN652 |
| Business Practice Address: | 3633 Little Rd Suite #103 Trinity, FL - 346551815 |
| Business Phone Number: | 7278531800 |
| Business Fax Number: | |
| Mailing Address: | 6357 Bahia Del Mar Blvd, Apt #105 SAINT PETERSBURG |
| State: | FL |
| Postal Code: | 337152391 |
| Phone Number: | 8134537931 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2015 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN652 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |