Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Soren Tavares

Individual provider Community Health Worker · NPI 1093632374

Alexander Soren Tavares is a Community Health Worker in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

2265 W Broadway St
Idaho Falls, ID 83402-2996
Phone: (208) 524-7400
Fax: (208) 524-8004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (ID)

Record details

NPI number1093632374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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