Provider Demographics
NPI:1184152381
Name:ALVARADO, RUBEN (PTA)
Entity type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 N 25TH LN
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4233
Mailing Address - Country:US
Mailing Address - Phone:956-878-3928
Mailing Address - Fax:
Practice Address - Street 1:5413 N 23RD ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4082
Practice Address - Country:US
Practice Address - Phone:956-994-8880
Practice Address - Fax:956-517-1481
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2063222225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant