Healthcare Provider Details

I. General information

NPI: 1396793998
Provider Name (Legal Business Name): LUIS M ALVARADO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21012 HIGHWAY 16
FRANKLINTON LA
70438-3668
US

IV. Provider business mailing address

21012 HIGHWAY 16
FRANKLINTON LA
70438-3668
US

V. Phone/Fax

Practice location:
  • Phone: 985-795-0500
  • Fax: 985-795-0600
Mailing address:
  • Phone: 985-795-0500
  • Fax: 985-795-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10439R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: