Organization
JUAN J ALVA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN JOSE ALVA MD, FACP (OWNER)
(919) 688-4748
Entity
Organization
Contact information
Practice address
609 WILLIAM VICKERS AVE, DURHAM, NC 27701-3140
(919) 688-4748
(919) 682-1133
Mailing address
609 WILLIAM VICKERS AVE, DURHAM, NC 27701-3140
(919) 688-4748
(919) 682-1133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10986
BCBS
NC
01
—
202592
MDR FOR LAB
NC
01
—
21591
STATE LICENSE
NC
05
—
8910986
—
NC
Enumeration date
01/11/2006
Last updated
05/21/2013
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