Provider Demographics
NPI:1861506917
Name:ALVERO, RUBEN JOHN (MD)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:JOHN
Last Name:ALVERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WELCH RD STE 350
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1807
Mailing Address - Country:US
Mailing Address - Phone:650-498-7911
Mailing Address - Fax:
Practice Address - Street 1:900 WELCH RD STE 350
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1807
Practice Address - Country:US
Practice Address - Phone:650-498-7911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD15044207VE0102X
CAG152510207VE0102X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1861506917Medicaid
RIU400227149OtherMEDICARE PTAN