Provider Demographics
NPI:1588657829
Name:ALVERO, GUMERSINDO ALAMPAY (MD)
Entity Type:Individual
Prefix:DR
First Name:GUMERSINDO
Middle Name:ALAMPAY
Last Name:ALVERO
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 1:310 NORTH HWY
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MN
Mailing Address - Zip Code:56143-1062
Mailing Address - Country:US
Mailing Address - Phone:507-847-3330
Mailing Address - Fax:507-847-3332
Practice Address - Street 1:310 NORTH HWY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MN
Practice Address - Zip Code:56143-1062
Practice Address - Country:US
Practice Address - Phone:507-847-3330
Practice Address - Fax:507-847-3332
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN22064207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN49967DOOtherBCMN
MN0912905Medicaid
MN0912905Medicaid