Raul Alvarez Jr., M.D.
Individual provider Active NPI Pediatrics Physician · Winter Haven, FL
NPI 1083618698 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1083618698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME50256 (FL)
- Practice address
- 430 E Central Ave
Winter Haven, FL 33880-3050 - Phone
- (863) 284-6850
- Fax
- (863) 284-6853
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130813000756 | FL | Practitioner - Pediatric Medicine | 2062654577 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50256 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current |
Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Ofc
Lakeland, FL 33805
Phone (863) 687-1177
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
430 E Central Ave
Winter Haven, FL 33880
Phone (863) 284-5061
Interoperability endpoints
- ralvarez17166@lrhs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME50256 | FL | Yes |
Addresses
Primary practice location
430 E Central Ave
Winter Haven, FL 33880-3050
Mailing address
1324 Lakeland Hills Blvd
Attn: Medical Staff Office
Lakeland, FL 33805-4543
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ralvarez17166@LRHS.direct-ci.com | Direct |
Other providers in Winter Haven, FL
- Alliance Care LLC
- Robert K. Allison Jr.
- Stefani Joy Allison
- Brittney Alls
- Mirtha Alvarez Acevedo
- Hannah Alzaki
- Emilio Anthony Amador
- John C Amann
- Ambitious Quality Care Assisted Living
- Amedisys Florida, LLC
All providers in Winter Haven, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.