Provider Demographics
NPI:1740487099
Name:ALVARADO-BARRANTES, CAROL (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:ALVARADO-BARRANTES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2500 W 4TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3352
Mailing Address - Country:US
Mailing Address - Phone:302-482-3388
Mailing Address - Fax:302-482-3389
Practice Address - Street 1:2500 W 4TH ST STE 6
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3352
Practice Address - Country:US
Practice Address - Phone:302-482-3388
Practice Address - Fax:302-482-3389
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008479207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG02723I23Medicare PIN
DE276727ZE6Medicare PIN