MEDICARE: DR. ALVARO A. TALAVERA 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	207RH0003X	Hematology & Oncology Physician	13091	PR

General Provider Information

NPI Number	:	1811985427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVARO A. TALAVERA MD

Provider Business Mailing Address
First Line	:	PO BOX 363305
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00936-3305
Country	:	US
Telephone Number	:	787-633-0017
Fax Number	:	787-710-9886

Provider Business Practice Location Address
First Line	:	65 INFANTERIA AV. KM. 8.3
Second Line	:	HOSPITAL UPR FIRST FLOOR
City	:	CAROLINA
State	:	PR
Zip	:	00984
Country	:	US
Telephone Number	:	787-633-0017
Fax Number	:	787-710-9886

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	09/17/2014

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