Active NPI
Edel Alvarez MD LLC
- Primary Care Clinic/Center
- Clearwater, FL
National Provider Identifier
1093393993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- EDEL ALVAREZ MD LLC
- Practice address
- 2878 Roosevelt Blvd
Clearwater, FL 33760-1923 - Phone
- (727) 474-3442
- NPI assigned
- Mar 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edel Alvarez, MD
- Title
- Owner/Physician
- Phone
- (727) 474-3442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2878 Roosevelt Blvd
Clearwater, FL 33760-1923
Mailing address
5512 18TH St NE
St Petersburg, FL 33703-1731
Phone (813) 453-7931
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RebeccaLaurenAPRN@hushmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13920 58th St N
Ste 1006
Clearwater, FL 33760
Phone (813) 453-7931
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Clearwater, FL
- NPI 1477930501
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Petersburg, FL
- NPI 1235557323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1093393993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5512 18TH ST NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337031731",
"telephone_number": "813-453-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2878 ROOSEVELT BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337601923",
"telephone_number": "727-474-3442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEL ALVAREZ MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-31",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "EDEL",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "727-474-3442",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RebeccaLaurenAPRN@hushmail.com",
"affiliation": "N",
"address_1": "2878 Roosevelt Blvd",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337601923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.