Provider Demographics
NPI:1194145482
Name:ALVAREZ DIVO, FRANCISCO ALEJANDRO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:ALEJANDRO
Last Name:ALVAREZ DIVO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:# 8220
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9000
Mailing Address - Country:US
Mailing Address - Phone:619-543-6711
Mailing Address - Fax:619-543-5869
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:# 8220
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:619-543-6711
Practice Address - Fax:619-543-5869
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program