Jesus Alvarez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4048900 Issued in TX

Practice address

1205 N Raul Longoria Rd
Suite I
San Juan, TX 78589-3720

Phone

(956) 782-5800

Fax

(956) 782-5802

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1295097509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N RAUL LONGORIA RD",
            "address_2": "SUITE I",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893720",
            "telephone_number": "956-782-5800",
            "fax_number": "956-782-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N RAUL LONGORIA RD",
            "address_2": "SUITE I",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893720",
            "telephone_number": "956-782-5800",
            "fax_number": "956-782-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "4048900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4048900",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Americare Provider Services, L.L.C.

• All providers in San Juan, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.