Active NPI
Praxedes Eduardo Alvarez, M.D.
- Nephrology Physician
- Ponce, PR
National Provider Identifier
1609837285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 8015
- Practice address
- 2916 Emilio Fagot
Suite 1
Ponce, PR 00716-3611 - Phone
- (787) 842-2802
- NPI assigned
- Mar 31, 2006
- Last updated
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 8015 | PR | Primary |
Addresses
Primary practice location
2916 Emilio Fagot
Suite 1
Ponce, PR 00716-3611
Mailing address
PO Box 331124
Ponce, PR 00733-1124
Phone (787) 842-2802
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121005000094 | PR | Practitioner - Nephrology | 5991954000 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2916 Emilio Fagot
Suite 1
Ponce, PR 00716-3611
Phone (787) 842-2802
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8015 | PR | MD | Pharmacist |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Guayama Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Guayama, PR
- NPI 1831298843
Dialysis facility
-
dba Hospital Menonita de Guayama
- Critical Access Hospital
- Guayama, PR
- NPI 1639696289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1609837285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 331124",
"city": "PONCE",
"state": "PR",
"postal_code": "007331124",
"telephone_number": "787-842-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 EMILIO FAGOT",
"address_2": "SUITE 1",
"city": "PONCE",
"state": "PR",
"postal_code": "007163611",
"telephone_number": "787-842-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "PRAXEDES",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "8015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.