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Dr. Andrea Alvarez Eslava, MD

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Specializes in: Adult Endocrinology and Bariatric Medicine

Professional interests include: polycystic ovary syndrome (PCOS), hormone imbalance, vitamin D deficiency, and more.

4502 Medical Drive
San Antonio, TX 78229

(210) 358-4000

Dr. Andrea Alvarez Eslava, MD is an endocrinologist in San Antonio, TX specializing in adult endocrinology and bariatric medicine. Dr. Andrea Alvarez Eslava, MD is affiliated with UT Health San Antonio and University Health.

Office Locations

4502 Medical Drive
San Antonio, TX 78229

(210) 358-4000

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5282 Medical Drive Suite 250
San Antonio, TX 78229

(210) 358-8820

(210) 358-9434

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701 S Zarzamora Street
San Antonio, TX 78207

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8311 Ewing Halsell Drive
San Antonio, TX 78229

(210) 562-8000

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8435 Wurzbach Road
San Antonio, TX 78229

(210) 450-7334

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Some issues Dr. Andrea Alvarez Eslava, MD can help you with:

Polycystic Ovary Syndrome (PCOS)

Polycystic ovarian syndrome is a common endocrine disorder that causes symptoms such as acne, facial hair, and weight gain. It is often diagnosed when patients experience problems getting pregnant, because PCOS can interfere with ovulation. There is no cure for PCOS, but there are effective treatments that can lessen the severity of the symptoms.

Despite the name, not everyone with polycystic ovarian syndrome develops cysts on their ovaries. It is also possible to have ovarian cysts without having PCOS. The symptoms of polycystic ovarian syndrome are actually related to insulin resistance, a condition where the insulin made by the body is not effectively recognized by the cells. This causes the pancreas to release higher levels of insulin in order to keep blood sugar levels stable, and the excess insulin interferes with hormone production in the pituitary and ovaries, causing the PCOS symptoms.

The symptoms of PCOS include:

Weight gain
Acne
Facial or body hair
Thinning head hair
Missing or irregular periods
Infertility

PCOS is a syndrome, which means that if patients have PCOS, they might not have each and every symptom. Even a few of them might be enough to have physicians check for polycystic ovarian syndrome. A doctor might perform an exam and order blood tests to measure hormone levels.

Treatment for PCOS may include:

Insulin sensitizers, which help the body use insulin more effectively, lowering hormone levels. The most commonly used insulin sensitizer is metformin.
Weight loss. Being overweight does not cause PCOS, and PCOS can make losing weight difficult. Still, weight loss can improve symptoms for many women.
Birth control pills to regulate menstruation and sometimes reduce symptoms such as acne.
Fertility medications, especially medications to stimulate ovulation such as clomiphene.
Anti-androgen medications, which work to treat symptoms such as acne and facial hair.
Low-carb diets, which work similarly to insulin sensitizers to lower hormone levels and help reduce weight.
Ovarian drilling or resectioning, surgical procedures sometimes performed if infertility is a persistent problem. These procedures open up the wall of the ovary to temporarily make ovulation more likely.

Polycystic ovarian syndrome is one of the most common endocrine disorders affecting women. Left untreated, it can increase the risk of diabetes, heart disease, and certain cancers. Fortunately there are many good treatment options available.

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Andrea Alvarez Eslava, MD treated as an endocrinologist in San Antonio, TX during 2012 were lab tests, diabetes management, preventive care and vaccines.

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

diabetes management	299
doctor visit	428
lab tests	299
preventive care	28
vaccines	28

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Andrea Alvarez Eslava, MD treated as an endocrinologist in San Antonio, TX during 2013 were lab tests and diabetes management.

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

diabetes management	323
doctor visit	504
lab tests	323

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	91
Female	151

**Ethnicity**
Non-Hispanic White	96
Black	0
Hispanic	125
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	95
From 75 to 84	0
85 and over	0
Less than 65	103

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2013

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	43
Depression	29
Chronic Kidney Disease	49
Asthma	10
Osteoperosis	20
Atrial Fibrilation	5
Heart Failure	19
Chronic Obstructive Pulmonary Disease	10
Diabetes	71
Dementia	5
Cancer	7

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

doctor visit	343

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	66
Female	109

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	127
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	66
From 75 to 84	0
85 and over	0
Less than 65	78

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2014

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	36
Depression	31
Chronic Kidney Disease	51
Asthma	8
Osteoperosis	31
Atrial Fibrilation	0
Heart Failure	19
Chronic Obstructive Pulmonary Disease	10
Diabetes	70
Dementia	8
Cancer	6

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

doctor visit	283

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	128
Female	164

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	204
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	118
From 75 to 84	0
85 and over	0
Less than 65	122

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2015

Hypertension	75
High Cholesterol	73
Stroke	0
Ischemic Heart Disease	34
Depression	28
Chronic Kidney Disease	64
Asthma	10
Osteoperosis	24
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	73
Dementia	0
Cancer	8

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Andrea Alvarez Eslava, MD treated as an endocrinologist in San Antonio, TX during 2016 were lab tests, preventive care and diabetes management.

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

diabetes management	53
doctor visit	184
lab tests	154
preventive care	154

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	45
Female	56

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	52
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	0
85 and over	0
Less than 65	33

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2016

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	38
Depression	26
Chronic Kidney Disease	74
Asthma	20
Osteoperosis	17
Atrial Fibrilation	12
Heart Failure	22
Chronic Obstructive Pulmonary Disease	15
Diabetes	71
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

doctor visit	103

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	21
Female	32

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	30
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	24

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2018

Hypertension	75
High Cholesterol	72
Stroke	0
Ischemic Heart Disease	36
Depression	32
Chronic Kidney Disease	66
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	23
Chronic Obstructive Pulmonary Disease	21
Diabetes	74
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

doctor visit	204

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	29
Female	60

**Ethnicity**
Non-Hispanic White	23
Black	0
Hispanic	44
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	0
85 and over	0
Less than 65	24

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2019

Hypertension	75
High Cholesterol	74
Stroke	0
Ischemic Heart Disease	31
Depression	29
Chronic Kidney Disease	67
Asthma	0
Osteoperosis	19
Atrial Fibrilation	0
Heart Failure	20
Chronic Obstructive Pulmonary Disease	12
Diabetes	73
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

doctor visit	54

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	34
Female	46

**Ethnicity**
Non-Hispanic White	24
Black	0
Hispanic	41
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	42
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	34
Depression	26
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	24
Chronic Obstructive Pulmonary Disease	0
Diabetes	75
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

doctor visit	109

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	35
Female	53

**Ethnicity**
Non-Hispanic White	33
Black	0
Hispanic	41
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	49
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	31
Depression	19
Chronic Kidney Disease	68
Asthma	0
Osteoperosis	15
Atrial Fibrilation	0
Heart Failure	23
Chronic Obstructive Pulmonary Disease	0
Diabetes	75
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

doctor visit	101

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	26
Female	57

**Ethnicity**
Non-Hispanic White	61
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	39
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD in 2024

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	22
Depression	27
Chronic Kidney Disease	29
Asthma	0
Osteoperosis	57
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	27
Dementia	0
Cancer	19

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Andrea Alvarez Eslava, MD for Medicare patients.

The highest averages for the top procedures that Dr. Andrea Alvarez Eslava, MD treated as an endocrinologist in San Antonio, TX were lab tests, diabetes management, preventive care and vaccines.

diabetes management	225
doctor visit	231
lab tests	258
preventive care	91
vaccines	28

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Andrea Alvarez Eslava, MD.

**Gender**
Male	47
Female	72

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	23
Hispanic	66
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	0
85 and over	0
Less than 65	38
65 to 74	50

Average of Total of Conditions of Medicare patients treated by Dr. Andrea Alvarez Eslava, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Andrea Alvarez Eslava, MD treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	67
High Cholesterol	65
Stroke	0
Ischemic Heart Disease	30
Depression	24
Chronic Kidney Disease	54
Asthma	4
Osteoporosis	18
Heart Failure	16
Chronic Obstructive Pulmonary Disease	8
Diabetes	60
Atrial Fibrillation	1
Cancer	4
Dementia	1

Education & Training

She completed residency at University of Texas Health Science Center at San Antonio and Affiliated Hospitals. She is certified by the Board Affiliation/Certification: American Board of Obesity Medicine and has a state license in Texas.

Residency: University of Texas Health Science Center at San Antonio and Affiliated Hospitals

Board Certification: Board Affiliation/Certification: American Board of Obesity Medicine

Licensed In: Texas

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Andrea Alvarez Eslava, MD appears to accept the following insurance providers: Blue Cross and Blue Shield of Texas, Superior Health Plan, WellCare Medicare Advantage, WellCare, Medicare Advantage, TriWest, MultiPlan, United Healthcare HMO, United Healthcare EPO, Blue Choice, United Healthcare, Medicaid, Humana, Cigna, Molina Healthcare, Blue Cross/Blue Shield, HealthSmart, Employers Health Network, First Health, Trustmark , WellPoint, Velocity National Provider Network - Commercial (Multiple Payers), Veterans Administration - Governmental, Curative - Commercial (All Products), Aetna Health - Transplant ONLY, Allegiance - Universal Benefits Consortium, EBSO Benefits - Third Party Administrator, Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children), CHAMPVA - Governmental, Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO), Aetna Health - Commercial (QPOS, SAISD, Select), 90 Degree Benefits - Third Party Administrator, Entrust - Third Party Administrator, Private Healthcare Systems - Commercial (All Products), Imagine 360 - Third Party Administrator, University of Incarnate Word - Direct Contact with Employer, Aetna Better Health - CHIP/CHIP Perinate Newborn, 6 Degrees - Transplant, Independent Medical Systems - Workers Compensation, LifeTrac - Transplant Network, Ancira Enterprises - Direct Employer, Independent Medical Systems - Commercial (PPO), Injury Management Organization - Workers Compensation, Interlink - Transplant Network, Gilsbar - Third Party Administrator, Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs, Benefit Administrative Systems - Third Party Administrator, Velocity National Provider Network - Commercial (PPO), OptumHealth - Transplant Network, Tokio Marine - Transplant Network, El Paso Health - CHIP, Imperial Health - Commercial (Exchange) and Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO)).

Insurance Accepted by Provider includes:

According to our sources, Dr. Andrea Alvarez Eslava, MD accepts the following insurance providers:

Blue Cross and Blue Shield of Texas

Superior Health Plan

WellCare Medicare Advantage

WellCare

Medicare Advantage

TriWest

MultiPlan

United Healthcare HMO

United Healthcare EPO

Blue Choice

United Healthcare

Medicaid

Humana

Cigna

Molina Healthcare

Blue Cross/Blue Shield

HealthSmart

Employers Health Network

First Health

Trustmark

WellPoint

Velocity National Provider Network - Commercial (Multiple Payers)

Veterans Administration - Governmental

Curative - Commercial (All Products)

Aetna Health - Transplant ONLY

Allegiance - Universal Benefits Consortium

EBSO Benefits - Third Party Administrator

Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children)

CHAMPVA - Governmental

Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO)

Aetna Health - Commercial (QPOS, SAISD, Select)

90 Degree Benefits - Third Party Administrator

Entrust - Third Party Administrator

Private Healthcare Systems - Commercial (All Products)

Imagine 360 - Third Party Administrator

University of Incarnate Word - Direct Contact with Employer

Aetna Better Health - CHIP/CHIP Perinate Newborn

6 Degrees - Transplant

Independent Medical Systems - Workers Compensation

LifeTrac - Transplant Network

Ancira Enterprises - Direct Employer

Independent Medical Systems - Commercial (PPO)

Injury Management Organization - Workers Compensation

Interlink - Transplant Network

Gilsbar - Third Party Administrator

Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs

Benefit Administrative Systems - Third Party Administrator

Velocity National Provider Network - Commercial (PPO)

OptumHealth - Transplant Network

Tokio Marine - Transplant Network

El Paso Health - CHIP

Imperial Health - Commercial (Exchange)

Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO))

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General Payments

These charts describe general payments received by Dr. Andrea Alvarez Eslava, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novo Nordisk Inc	$1,292 Saxenda $361	Ozempic $252	Wegovy $122	Tresiba $113	RYBELSUS $85	Other $360
Medtronic MiniMed, Inc.	$1,239 Continuous Glucose Monitor $1,190	Insulin pump $49
Abbott Laboratories	$384 FreeStyle Libre $199	FREESTYLE LIBRE 3 $185
Lilly USA, LLC	$265 TRULICITY $100	LYUMJEV $82	MOUNJARO $49	JARDIANCE $34
Dexcom, Inc.	$158 DEXCOM G6 TRANSMITTER $158
Other	$1,136 CeQur Simplicity $133	VYKAT XR $130	DISEASE STATE $125	Gene Expression Classifier Thyroid FNA Analysis $98	t:slim X2 Insulin Pump with Control-IQ $97	Other $554

**Types of Payments**
Food and Beverage	$3,297
Travel and Lodging	$1,023
Education	$153

Biography

Dr. Andrea Alvarez Eslava is a physician who specializes in adult endocrinology and bariatric medicine. Clinical interests for Dr. Alvarez Eslava include vitamin D deficiency, calcium metabolism disorder, and thyroid problems. Dr. Alvarez Eslava's hospital/clinic affiliations include UT Health San Antonio and the University Health. Trustmark, Blue Cross/Blue Shield, and HealthSmart seem to be the insurance carriers that Dr. Alvarez Eslava accepts. According to UT Health San Antonio, new patients are welcome to contact her office in San Antonio, TX. Dr. Alvarez Eslava's training includes a residency program at a hospital affiliated with the University of Texas Health Science Center at San Antonio. She is conversant in Spanish.