Active NPI
Luisa Rahell Alvarez, O.D.
- Optometrist
- Fort Defiance, AZ
National Provider Identifier
1255461174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2528
- Practice address
- Corner of Route N12 and N7
Fort Defiance Hospital Board, Inc.
Fort Defiance, AZ 86504 - Phone
- (951) 312-9596
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2528 | CO | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance Hospital Board, Inc.
Fort Defiance, AZ 86504
Mailing address
PO Box 649
Fort Defiance Indian Hospital Board, Inc.
Fort Defiance, AZ 86504-0649
Phone (951) 312-9596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88350274 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2528 | CO | MD | Optometrist |
| 585 | NM | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1255461174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "951-312-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"address_2": "FORT DEFIANCE HOSPITAL BOARD, INC.",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "951-312-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "LUISA",
"middle_name": "RAHELL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88350274",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.