Individual
JOSE ALVAREZ-VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
09244
PR
207Y00000X
Otolaryngology Physician
Primary
24747
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067363
CRUZ AZUL
PR
05
—
2001009404
—
OK
01
—
205050
PREFERRED HEALTH
PR
01
—
8000149
HUMANA INSURANCE
PR
01
—
81145
TRIPLE S
PR
01
—
N256
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
12/02/2005
Last updated
07/22/2014
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