Provider Demographics
NPI:1134577224
Name:ALVARADO, JOSE F
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:F
Last Name: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 1:137 BERGEN AVE
Mailing Address - Street 2:BASEMENT
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-1528
Mailing Address - Country:US
Mailing Address - Phone:201-994-1616
Mailing Address - Fax:
Practice Address - Street 1:137 BERGEN AVE
Practice Address - Street 2:BASEMENT
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-1528
Practice Address - Country:US
Practice Address - Phone:201-994-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2016-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0450076973171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor