JUAN J ALVA MD PA NPI 1629057476

NPI Information

  • NPI: 1629057476
  • Provider Name: JUAN J ALVA MD PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 609 WILLIAM VICKERS AVE
    DURHAM, NC
    ZIP 27701
  • Phone: (919) 688-4748

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NPI Details

JUAN J ALVA MD PA is a specialist in Durham, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JUAN J ALVA MD PA NPI is 1629057476. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

609 WILLIAM VICKERS AVE
DURHAM, NC
ZIP 27701-140
Phone: (919) 688-4748
Fax: (919) 682-1133

The provider's authorized official is Juan Jose Alva .
The authorized official title is Owner and has the following contact phone number (919) 688-4748.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 5/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist21591NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121591OTHERNORTH CAROLINASTATE LICENSE
210986OTHERNORTH CAROLINABCBS
38910986MEDICAIDNORTH CAROLINA
4202592OTHERNORTH CAROLINAMDR FOR LAB
5D33041MEDICARE UPINNORTH CAROLINA
6202592MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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