Provider Demographics
NPI:1851572648
Name:ORTIZ-ALVARADO, HAROLD
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:
Last Name:ORTIZ-ALVARADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123A CALLE SOL
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4869
Mailing Address - Country:US
Mailing Address - Phone:787-502-8628
Mailing Address - Fax:
Practice Address - Street 1:43 CALLE DR VEVE
Practice Address - Street 2:EDIFICIO GROVAS RODRIGUEZ
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4100
Practice Address - Country:US
Practice Address - Phone:787-892-5030
Practice Address - Fax:787-264-7279
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001933247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist