Active NPI
Orlando M Alvarez, MD
- Ophthalmology Physician
- Jensen Beach, FL
National Provider Identifier
1790783124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME64962
- Practice address
- 746 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4754 - Phone
- (434) 250-6270
- NPI assigned
- Jul 11, 2005
- Last updated
- Mar 24, 2021
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME64962 | FL | Primary |
Addresses
Primary practice location
746 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4754
Mailing address
10052 SW Stonegate Dr
Port St Lucie, FL 34987-2424
Phone (434) 203-0282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006306161 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64962 | FL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1790783124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10052 SW STONEGATE DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872424",
"telephone_number": "434-203-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 NE JENSEN BEACH BLVD",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349574754",
"telephone_number": "434-250-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "ORLANDO",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME64962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006306161",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jensen Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.