Provider Demographics
NPI:1689291049
Name:MARTINEZ ALVAREZ, ANDRES DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:DANIEL
Last Name:MARTINEZ ALVAREZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDRES
Other - Middle Name:DANIEL
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13725 METCALF AVE # 403
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-7899
Mailing Address - Country:US
Mailing Address - Phone:913-498-8787
Mailing Address - Fax:913-498-1744
Practice Address - Street 1:2100 SE BLUE PKWY
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1007
Practice Address - Country:US
Practice Address - Phone:816-282-5000
Practice Address - Fax:913-498-1744
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-50485207R00000X
MO2024047766207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine