Provider Demographics
NPI:1396793998
Name:ALVARADO, LUIS M (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:M
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21012 HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-3668
Mailing Address - Country:US
Mailing Address - Phone:985-795-0500
Mailing Address - Fax:985-795-0600
Practice Address - Street 1:21012 HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3668
Practice Address - Country:US
Practice Address - Phone:985-795-0500
Practice Address - Fax:985-795-0600
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10439R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1994715Medicaid
F89074Medicare UPIN
LA5U671Medicare UPIN