Provider Demographics
NPI:1679563597
Name:ALVARADO, VICTOR NOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:NOEL
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VICTOR
Other - Middle Name:NOEL
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2049 DARLIN CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-2708
Mailing Address - Country:US
Mailing Address - Phone:407-925-7034
Mailing Address - Fax:407-330-5820
Practice Address - Street 1:101 TIMBERLACHEN CIR
Practice Address - Street 2:SUITE#201
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6124
Practice Address - Country:US
Practice Address - Phone:407-925-7034
Practice Address - Fax:407-330-5820
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-22
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1448501OtherCITRUS HEALTH CARE
FLVALVARADO1212@HOTMAIOtherMY ORIGINAL EMAIL ADDRES
FL000141376412OtherUNITED HEALTH CARE
NY193970OtherMEDICAL LICENSE
FL078173OtherBOARD OF FAMILY PHYSICIAN
FL131283OtherHUMANA
FLME89233OtherMEDICAL LICENSE
FL5662046OtherAETNA
NY193970OtherMEDICAL LICENSE
FLME89233OtherMEDICAL LICENSE