Provider Demographics
NPI:1952840092
Name:ALVAREZ, CARLOS MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:MANUEL
Last Name:ALVAREZ
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 26666
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:505-563-6399
Mailing Address - Fax:505-563-6680
Practice Address - Street 1:201 CEDAR ST SE STE 5630
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4920
Practice Address - Country:US
Practice Address - Phone:505-563-6399
Practice Address - Fax:505-563-6680
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2025-06-11
Deactivation Date:2018-06-30
Deactivation Code:
Reactivation Date:2018-07-25
Provider Licenses
StateLicense IDTaxonomies
390200000X
NMMD2025-0418207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program