Juan J Alva MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

21591 Issued in NC

Legal business name

JUAN J ALVA MD PA

Practice address

609 William Vickers Ave
Durham, NC 27701-3140

Phone

(919) 688-4748

Fax

(919) 682-1133

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Juan Jose Alva, MD, FACP

Title

Owner

Phone

(919) 688-4748

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1629057476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WILLIAM VICKERS AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013140",
            "telephone_number": "919-688-4748",
            "fax_number": "919-682-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WILLIAM VICKERS AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013140",
            "telephone_number": "919-688-4748",
            "fax_number": "919-682-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN J ALVA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "ALVA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-688-4748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "21591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "21591",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDR FOR LAB",
            "identifier": "202592",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910986",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Juanita C Perkins FNP-BC
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• Jennifer Juarez, M.ED. CCC-SLP
• Jubilee Home

• Specialist in Durham, NC
• Providers in Durham, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.