Provider Demographics
NPI:1952359937
Name:ALVARADO, LUISA I (MD)
Entity Type:Individual
Prefix:DR
First Name:LUISA
Middle Name:I
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 1:2765 CALLE EL MONTE
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4838
Mailing Address - Country:US
Mailing Address - Phone:787-825-2600
Mailing Address - Fax:787-825-6838
Practice Address - Street 1:49 CALLE FLORENCIO SANTIAGO
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-3212
Practice Address - Country:US
Practice Address - Phone:787-825-2600
Practice Address - Fax:787-825-6838
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5060208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics