Individual
DR. LUIS ALVAREZ NIDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 MEMORIAL DR STE 511, SOUTH BEND, IN 46601-1075
(574) 544-5580
(574) 544-5579
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01058943A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200478990
—
IN
Enumeration date
10/25/2005
Last updated
03/07/2025
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