MEDICARE: ISRAEL J ALVARADO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SG0201X	Clinical Genetics (M.D.) Physician	11299	NV
2	207R00000X	Internal Medicine Physician	11299	NV

General Provider Information

NPI Number	:	1427096569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISRAEL J ALVARADO MD

Provider Business Mailing Address
First Line	:	2031 MCDANIEL ST STE 250
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6309
Country	:	US
Telephone Number	:	702-649-9070
Fax Number	:	702-649-9080

Provider Business Practice Location Address
First Line	:	2031 MCDANIEL ST STE 250
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6309
Country	:	US
Telephone Number	:	702-649-9070
Fax Number	:	702-649-9080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/09/2021

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