MEDICARE: MR. RUBEN ALVARADO PTA

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	225200000X	Physical Therapy Assistant	2063222	TX

General Provider Information

NPI Number	:	1184152381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RUBEN ALVARADO PTA

Provider Business Mailing Address
First Line	:	7221 N 25TH LN
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4233
Country	:	US
Telephone Number	:	956-878-3928
Fax Number	:

Provider Business Practice Location Address
First Line	:	5413 N 23RD ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4082
Country	:	US
Telephone Number	:	956-994-8880
Fax Number	:	956-517-1481

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

Provider Enumeration Date	:	06/01/2017
Last Update Date	:	07/21/2022

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