Provider Demographics
NPI:1134656721
Name:ALVARADO, GEORGE FERRER SR (DPM)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FERRER
Last Name:ALVARADO
Suffix:SR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:440-960-4624
Practice Address - Street 1:114 W CASTELLANO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6119
Practice Address - Country:US
Practice Address - Phone:915-532-3721
Practice Address - Fax:915-532-3724
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3041213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3041OtherTX PODIATRY LICENSE #