Provider Demographics
NPI:1356680615
Name:ALVARADO, JULIO (CAR SERVICE PROVIDER)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:CAR SERVICE PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 E GUN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2107
Mailing Address - Country:US
Mailing Address - Phone:718-515-2600
Mailing Address - Fax:
Practice Address - Street 1:254 E GUN HILL RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2107
Practice Address - Country:US
Practice Address - Phone:718-515-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY882666775172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver