Provider Demographics
NPI:1548284318
Name:ALVAREZ - REYES, LUIS F (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:ALVAREZ - REYES
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:PO BOX 190988
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-0988
Mailing Address - Country:US
Mailing Address - Phone:787-550-8084
Mailing Address - Fax:
Practice Address - Street 1:1674 AVE PAZ GRANELA
Practice Address - Street 2:URB SANTIAGO IGLESIAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-781-3508
Practice Address - Fax:787-781-3676
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9983207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG43434Medicare UPIN
PR83053Medicare ID - Type Unspecified