Healthcare Provider Details

I. General information

NPI: 1427636901
Provider Name (Legal Business Name): JAQUELINE ALVARADO-VALADEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAQUELINE ALVARADO

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 PROSPECT AVE APT 1B
BROOKLYN NY
11215-6074
US

IV. Provider business mailing address

577 PROSPECT AVE APT 1B
BROOKLYN NY
11215-6074
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number344286
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: