Provider Demographics
NPI:1912008202
Name:ALVARADO, SONYA (DDS)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 LOST MAPLES
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0074
Mailing Address - Country:US
Mailing Address - Phone:210-705-9297
Mailing Address - Fax:
Practice Address - Street 1:206 NE 7TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-5214
Practice Address - Country:US
Practice Address - Phone:806-318-3908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21591122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHO131985OtherDPS
TXFA1633014OtherDEA