Provider Demographics
NPI:1043501166
Name:SAMONTE, JOSEPH ALVAREZ (NAVY IDC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALVAREZ
Last Name:SAMONTE
Suffix:
Gender:M
Credentials:NAVY IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USS NEW ORLEANS
Mailing Address - Street 2:MEDICAL
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96673-1701
Mailing Address - Country:US
Mailing Address - Phone:619-556-4748
Mailing Address - Fax:
Practice Address - Street 1:USS NEW ORLEANS
Practice Address - Street 2:MEDICAL
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96673-1701
Practice Address - Country:US
Practice Address - Phone:619-556-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-23
Last Update Date:2011-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman