Individual ProviderAlexis AlvidrezCase Manager/Care CoordinatorOther Service ProvidersPractice Address209 San Pablo, Albuquerque, NM 87108(505) 944-7224(505) 877-7060PECOS EnrollmentBased on the most recent information from CMS, provider Alexis Alvidrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154701472Provider TypeIndividualFull NameAlvidrez, AlexisGenderFemaleSole ProprietorNoEnumeration Date6/2/2015Last Updated6/2/2015Contact InformationPractice LocationPractice Address209 San Pablo, Albuquerque, NM 87108Phone(505) 944-7224Fax(505) 944-7229Mailing LocationMailing Address1101 Lopez Road SW, Albuquerque, NM 87105Phone(505) 877-7060Fax(505) 877-7063Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer