Provider Demographics
NPI:1366470932
Name:ALVARO M GIRALDO MD PA
Entity Type:Organization
Organization Name:ALVARO M GIRALDO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:M
Authorized Official - Last Name:GIRALDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-668-0974
Mailing Address - Street 1:1200 E SAVANNAH AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1728
Mailing Address - Country:US
Mailing Address - Phone:956-668-0974
Mailing Address - Fax:956-668-0751
Practice Address - Street 1:1200 E SAVANNAH AVE
Practice Address - Street 2:SUITE 13
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1727
Practice Address - Country:US
Practice Address - Phone:956-668-0974
Practice Address - Fax:956-668-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173060801Medicaid
TX173060801Medicaid
TXF97749Medicare UPIN