Provider Demographics
NPI:1568456176
Name:ALVARADO, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name: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 1:4001 E SUNRISE DR STE 121
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-4324
Mailing Address - Country:US
Mailing Address - Phone:520-209-7000
Mailing Address - Fax:520-209-7010
Practice Address - Street 1:4001 E SUNRISE DR STE 121
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-4324
Practice Address - Country:US
Practice Address - Phone:520-209-7000
Practice Address - Fax:520-209-7010
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20329208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ194936Medicaid
AZE68387Medicare UPIN
AZ194936Medicaid