Provider Demographics
NPI:1326284696
Name:ALVAREZ-ALLENDE, CARLOS ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ROBERTO
Last Name:ALVAREZ-ALLENDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:675 SC BUSTAMANTE
Mailing Address - Street 2:APT. 21
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PUERTO RICO CHILDREN'S HOSPITAL
Practice Address - Street 2:MEDICAL PLAZA, 3ER PISO, OFICINA 302
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-474-8282
Practice Address - Fax:787-474-5422
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR18552208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery