Alvarez graduated in 1981 from the Department of Medicine of Universidad Central del Este a private university in the Dominican Republic, founded in San Pedro de Macorís on October 15, 1970 [REF].
After completing his Obstetrics/Gynecology and Anesthesiology residencies at St. Joseph Hospital and Medical Center in Paterson, New Jersey, Alvarez completed fellowships in Maternal Fetal Medicine and Critical Care Medicine at the Mount Sinai Hospital in New York City.