Provider Demographics
NPI:1881775245
Name:ALVARADO, PASTOR JR (MD)
Entity type:Individual
Prefix:MR
First Name:PASTOR
Middle Name:
Last Name:ALVARADO
Suffix:JR
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 1:880 RIDGEWOOD ST
Mailing Address - Street 2:STE 2
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4408 MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-688-6661
Practice Address - Fax:956-686-4395
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1811208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035865702Medicaid
TX035865701Medicaid
B20891Medicare UPIN
TX035865701Medicaid
TX00SH01Medicare PIN