Provider Demographics
NPI:1679001424
Name:ALVAREZ, JOE MANUEL JR (CRT)
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:MANUEL
Last Name:ALVAREZ
Suffix:JR
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 BEAVER FORD RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-6642
Mailing Address - Country:US
Mailing Address - Phone:850-294-6652
Mailing Address - Fax:
Practice Address - Street 1:7505 BEAVER FORD RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-6642
Practice Address - Country:US
Practice Address - Phone:850-294-6652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2017-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT6575227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified