Provider Demographics
NPI:1003247172
Name:ALIRE, ADOLFO ANTONIO
Entity Type:Individual
Prefix:MR
First Name:ADOLFO
Middle Name:ANTONIO
Last Name:ALIRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 PORTER FIELD WAY
Mailing Address - Street 2:H
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-981-3905
Mailing Address - Fax:
Practice Address - Street 1:2009 PORTER FIELD WAY
Practice Address - Street 2:H
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-981-3905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator