Marcelino L Alvarez, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Crystal River, FL
NPI 1629039334 · NPPES record last updated Aug 6, 2010
Key facts
- NPI
- 1629039334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- ME42885 (FL)
- Practice address
- 6201 N Suncoast Blvd
Department of Pathology
Crystal River, FL 34428-6712 - Phone
- (352) 795-8372
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060202000476 | FL | Practitioner - Pathology | 7214941848 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME42885 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamarac Pathology Group PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Premiere Medical Laboratories P a | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME42885 | FL | Yes |
Addresses
Primary practice location
6201 N Suncoast Blvd
Department of Pathology
Crystal River, FL 34428-6712
Mailing address
PO Box 1088
Crystal River, FL 34423-1088
Phone (352) 795-8372
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064712800 | Medicaid | FL |
Other providers in Crystal River, FL
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- Klaudio Alla
- Francesco Allegretta
- Amin Radiology Inc
- Kamalesh A Amin
- Jeri Leigh Anderson
- Anesthesia Dynamics LLC
- Angela Acevedo MD PA
All providers in Crystal River, FL · Anatomic Pathology & Clinical Pathology 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 Aug 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.