Provider Demographics
NPI:1588101463
Name:JORGE A. ALVAREZ DDS PA
Entity type:Organization
Organization Name:JORGE A. ALVAREZ DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-792-7766
Mailing Address - Street 1:8993 OKEECHOBEE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5144
Mailing Address - Country:US
Mailing Address - Phone:561-792-7766
Mailing Address - Fax:561-784-9457
Practice Address - Street 1:8993 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5144
Practice Address - Country:US
Practice Address - Phone:561-792-7766
Practice Address - Fax:561-784-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty