Active NPI
Alvarez Medical Center LLC
- General Practice Physician
- Pinellas Park, FL
National Provider Identifier
1477242014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ALVAREZ MEDICAL CENTER LLC
- Practice address
- 5265 Park Blvd N Ste 101
Pinellas Park, FL 33781-3451 - Phone
- (813) 462-1193
- NPI assigned
- May 1, 2023
- 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
- Gilberto A Iniguez, MD
- Title
- Owner
- Phone
- (813) 462-1193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
5265 Park Blvd N Ste 101
Pinellas Park, FL 33781-3451
Mailing address
5265 Park Blvd N Ste 101
Pinellas Park, FL 33781-3451
Phone (813) 462-1193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230526000118 | FL | Part B Supplier - Clinic/Group Practice | 1456717941 |
Receives reassigned benefits from 1 practitioner Practice locations: Pinellas Park, FL |
National Provider Directory
National Provider DirectoryLocations
5265 Park Blvd N
Ste 101
Pinellas Park, FL 33781
Phone (813) 462-1193
5265 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 545-9590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1477242014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5265 PARK BLVD N STE 101",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813451",
"telephone_number": "813-462-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5265 PARK BLVD N STE 101",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813451",
"telephone_number": "813-462-1193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALVAREZ MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "INIGUEZ",
"authorized_official_first_name": "GILBERTO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-462-1193",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.