Provider Demographics
NPI:1881782993
Name:ALVARADO, ADOLFO HERRERA (DDS)
Entity type:Individual
Prefix:
First Name:ADOLFO
Middle Name:HERRERA
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3432 SUNRISE DRIVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872
Mailing Address - Country:US
Mailing Address - Phone:863-385-7936
Mailing Address - Fax:863-385-7936
Practice Address - Street 1:326 SW 20 ROAD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129
Practice Address - Country:US
Practice Address - Phone:305-905-0764
Practice Address - Fax:305-854-3890
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN132161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice