Individual provider · NPI-1

Aaron Alvarez, IDMT

Military Health Care Provider, Independent Duty Medical Technicians · Langley Afb, VA

NPI number1306259171
StatusActive
Last updated in NPPESJun 3, 2025

Details

NPI
1306259171
Entity type
Individual (NPI-1)
Name
Aaron Alvarez
Credential
IDMT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2014
Certification date
Jun 3, 2025
Last updated
Jun 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

77 Nealy Ave
Langley Afb, VA 23665-2040

Phone 757-764-3260

Mailing address

112 Bronco Ln
Hampton, VA 23665-2570

Phone 480-842-2875

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