Provider Demographics
NPI:1851360283
Name:ALVARADO TORRES, IRMA NYDIA (MD)
Entity Type:Individual
Prefix:DR
First Name:IRMA
Middle Name:NYDIA
Last Name:ALVARADO TORRES
Suffix:
Gender:F
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:PO BOX 389
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-0389
Mailing Address - Country:US
Mailing Address - Phone:787-862-1717
Mailing Address - Fax:787-862-4919
Practice Address - Street 1:CALLE PRINCIPAL #24
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687
Practice Address - Country:US
Practice Address - Phone:787-862-1717
Practice Address - Fax:787-862-4919
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9782207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9782Medicaid