Provider Demographics
NPI:1134312846
Name:ALVARADO, MARGARITA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 CALLE 54 SE
Mailing Address - Street 2:LA RIVIERA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3141
Mailing Address - Country:US
Mailing Address - Phone:787-783-1259
Mailing Address - Fax:787-781-0249
Practice Address - Street 1:1270 CALLE 54 SE
Practice Address - Street 2:LA RIVIERA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3141
Practice Address - Country:US
Practice Address - Phone:787-783-1259
Practice Address - Fax:787-781-0249
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-26
Last Update Date:2007-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice