Provider Demographics
NPI:1720059017
Name:ALVARADO, LIZBETH (MD)
Entity Type:Individual
Prefix:MRS
First Name:LIZBETH
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
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:LAS ALONDRAS 1 F21
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-0000
Mailing Address - Country:US
Mailing Address - Phone:787-430-3201
Mailing Address - Fax:787-813-5738
Practice Address - Street 1:SANTA MARIA SHOPPING CENTER 2 DO PISO
Practice Address - Street 2:OFICINA 225
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733
Practice Address - Country:US
Practice Address - Phone:787-813-3021
Practice Address - Fax:787-840-8874
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15361207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine