Provider Demographics
NPI:1497076988
Name:ALVARADO, ANTONIO M (MD)
Entity Type:Individual
Prefix:
First Name:ANTONIO
Middle Name:M
Last Name:ALVARADO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7142 SAN PEDRO AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6254
Mailing Address - Country:US
Mailing Address - Phone:210-661-5622
Mailing Address - Fax:210-395-4012
Practice Address - Street 1:2660 COMMON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3584
Practice Address - Country:US
Practice Address - Phone:830-620-4650
Practice Address - Fax:830-620-4657
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2015-10-26
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Provider Licenses
StateLicense IDTaxonomies
IL125058049207R00000X
TXQ1941207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine