Individual provider Active NPI

Alberto L Alvarez, CPO

  • Orthotist
  • Gulfport, MS
National Provider Identifier
1659869048
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
3506 Washington Ave Ste D
Gulfport, MS 39507-3102
Phone
(228) 864-4512
Fax
(228) 864-5339
NPI assigned
May 1, 2018
Last updated
May 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU Primary
Prosthetist 224P00000X NU

Addresses

Primary practice location

3506 Washington Ave Ste D
Gulfport, MS 39507-3102

Mailing address

3506 Washington Ave Ste D
Gulfport, MS 39507-3102
Phone (228) 864-4512

Other identifiers 1

IdentifierTypeStateIssuer
00040133MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Limb & Brace Prosthetist CurrentSince May 8, 2022 Accepting new patients
Adaptive Prosthetics & Orthotics, Inc Current Accepting new patients

Locations

3506 Washington Ave
Ste D
Gulfport, MS 39507
Phone (228) 863-0200

Organizations & group practices 2

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1659869048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073102",
            "telephone_number": "228-864-4512",
            "fax_number": "228-864-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073102",
            "telephone_number": "228-864-4512",
            "fax_number": "228-864-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ALBERTO",
        "middle_name": "L",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040133",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.