MEDICARE: DR. NILDA ALVERIO 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	207Q00000X	Family Medicine Physician	G50606	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	047878	OTHER		SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1184756116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILDA ALVERIO MD

Provider Business Mailing Address
First Line	:	3850 17TH ST
Second Line	:	CASTRO-MISSION HEALTH CENTER
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-2031
Country	:	US
Telephone Number	:	415-487-7546
Fax Number	:	415-558-8221

Provider Business Practice Location Address
First Line	:	3850 17TH ST
Second Line	:	CASTRO-MISSION HEALTH CENTER
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-2031
Country	:	US
Telephone Number	:	415-487-7546
Fax Number	:	415-558-8221

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/08/2007

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