| Doctor Name: | IDSI DANIL ALVAREZ MARTINEZ |
| NPI Number: | 1861632564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 17,380 |
| Business Practice Address: | 1690 Skylyn Dr Suite 300 Spartanburg, SC - 293071022 |
| Business Phone Number: | 8643424000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 9079, BELFAST |
| State: | ME |
| Postal Code: | 049159079 |
| Phone Number: | 8642538080 |
| Fax Number: | 8645831048 |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17,380 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |