Provider Demographics
NPI:1326197401
Name:ALVARADO, GILBERTO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:JOSE
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1658 CALLE MARQUESA
Mailing Address - Street 2:URB. VALLE REAL
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0504
Mailing Address - Country:US
Mailing Address - Phone:787-649-5508
Mailing Address - Fax:
Practice Address - Street 1:CALLE ANA D PEREZ
Practice Address - Street 2:URB INDUSTRIAL REPARADA II
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-841-3501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16456207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine