Dauri Zoraida Alvarez, M.D.
Individual provider Active NPI Family Medicine Physician · Patrick Afb, FL
NPI 1316907686 · NPPES record last updated Jun 17, 2016
Key facts
- NPI
- 1316907686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME90046 (FL)
- Practice address
- 1381 S Patrick Dr
Patrick Afb, FL 32925-3606 - Phone
- (321) 494-9602
- Fax
- (321) 494-8334
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard Medical Support, Inc | Past | Accepting new patients |
Interoperability endpoints
- dauri.alvarez.1@14883.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME90046 | FL | Yes |
Addresses
Primary practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Mailing address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone (321) 494-9602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274694800 | Medicaid | FL | |
| 5446138 | Other | FL | CIGNA |
| 37122 | Other | FL | BCBS |
| 1227074 | Other | FL | AETNA |
Other providers in Patrick Afb, FL
- 45 MDSS Patrick Afb
- 45TH Medgrp-Patrick
- 45TH Medgrp-Patrick
- Kyle Blasser
- Archie Bockhorst
- Spencer Boone
- Elena Gines Botardo
- Wade J Bravo
All providers in Patrick Afb, FL · Family Medicine 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 Jun 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.