Individual
ALBERTO L ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
3506 WASHINGTON AVE STE D, GULFPORT, MS 39507-3102
(228) 864-4512
(228) 864-5339
Mailing address
3506 WASHINGTON AVE STE D, GULFPORT, MS 39507-3102
(228) 864-4512
(228) 864-5339
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040133
—
MS
Enumeration date
05/01/2018
Last updated
05/01/2018
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