Provider Demographics
NPI:1811985427
Name:TALAVERA, ALVARO A (MD)
Entity type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:A
Last Name:TALAVERA
Suffix:
Gender:M
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:PO BOX 363305
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3305
Mailing Address - Country:US
Mailing Address - Phone:787-633-0017
Mailing Address - Fax:787-710-9886
Practice Address - Street 1:65 INFANTERIA AV. KM. 8.3
Practice Address - Street 2:HOSPITAL UPR FIRST FLOOR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-633-0017
Practice Address - Fax:787-710-9886
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13091207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2-0656Medicare ID - Type Unspecified
PRH67540Medicare UPIN