Provider Demographics
NPI:1639777956
Name:ALVARADO, IRENE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 E HILLSIDE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3319
Mailing Address - Country:US
Mailing Address - Phone:956-728-0440
Mailing Address - Fax:956-771-9642
Practice Address - Street 1:1205 E HILLSIDE RD STE B
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3319
Practice Address - Country:US
Practice Address - Phone:956-728-0440
Practice Address - Fax:956-771-9642
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143381164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse