Provider Demographics
NPI:1346233616
Name:QUESTELL ALVARADO, DAVID RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:RAFAEL
Last Name:QUESTELL 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 1:2 CALLE RUIZ BELVIS
Mailing Address - Street 2:
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-2668
Mailing Address - Country:US
Mailing Address - Phone:787-845-3713
Mailing Address - Fax:787-845-4511
Practice Address - Street 1:2 CALLE RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757-2619
Practice Address - Country:US
Practice Address - Phone:787-845-3713
Practice Address - Fax:787-845-4511
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR11088OtherLINCESED
PR11088OtherLINCESED
PRF94445Medicare UPIN