Individual provider Active NPI

Jorge Luis Alvarez Sr., M.D.

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1558525899
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17,202 Issued in PR
Practice address
4121 Abrams Ave
Las Vegas, NV 89110-5795
Phone
(702) 218-8008
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17,202 PR Primary

Addresses

Primary practice location

4121 Abrams Ave
Las Vegas, NV 89110-5795

Mailing address

PO Box 169
Arroyo, PR 00714-0169
Phone (702) 218-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000269 PR Practitioner - General SurgeryPractitioner - General Practice 6800924267 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17,202PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Villa Los Santos Current Accepting new patients
Villa Los Santos Clinic, LLC CurrentSince May 1, 2024 Accepting new patients
Villa Los Santos Clinic, LLC General Practice Current Accepting new patients
Servicios de Salud del Norte General Practice CurrentSince Aug 1, 2023 Accepting new patients
Villa Los Santos Clinic, LLC General Practice CurrentSince May 1, 2024 Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients

Locations

V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1558525899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140169",
            "telephone_number": "702-218-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 ABRAMS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105795",
            "telephone_number": "702-218-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17,202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.