Provider Demographics
NPI:1629182795
Name:ALVARADO, GILBERTO T (CNP)
Entity Type:Individual
Prefix:MR
First Name:GILBERTO
Middle Name:T
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:CNP
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Mailing Address - Street 1:2474 INDIAN WELLS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-3845
Mailing Address - Country:US
Mailing Address - Phone:575-415-1927
Mailing Address - Fax:575-532-8963
Practice Address - Street 1:2474 INDIAN WELLS RD
Practice Address - Street 2:SUITE A
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-3845
Practice Address - Country:US
Practice Address - Phone:575-415-1927
Practice Address - Fax:575-532-8963
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2016-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMR47487363LF0000X
NMCNP01162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMP54235Medicare UPIN
NMN6234Medicaid