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.
ˈælvɚɹˌɛz ɡɹˈædjuːˌeɪɾᵻd ɪn nˈaɪntiːnhˈʌndɹɪd ˈeɪɾi wˈʌn fɹʌmðə dᵻpˈɑːɹtmənt ʌv mˈɛdəsən ʌv jˈuːnɪvɚsˌɪdæd sˈɛntɹəl dˈɛl ˈɛst ɐ pɹˈaɪvət jˌuːnɪvˈɜːsᵻɾi ɪnðə dəmˈɪnɪkən ɹᵻpˈʌblɪk, fˈaʊndᵻd ɪn sˌæn pˈɛdɹoʊ də mˈækoːɹˌɪs ˌɔn ɑːktˈoʊbɚ fˈɪftiːn, nˈaɪntiːnhˈʌndɹɪd sˈɛvənti.