MEDICARE: MR. EDGAR ENRIQUE ALVARADO M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	ME181273	FL

General Provider Information

NPI Number	:	1245924828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDGAR ENRIQUE ALVARADO M.D.

Provider Business Mailing Address
First Line	:	6335 NEMOURS PARKWAY
Second Line	:	GRADUATE MEDICAL EDUCATION
City	:	ORLANDO
State	:	FL
Zip	:	32827
Country	:	US
Telephone Number	:	407-607-6334
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 CURRY FORD RD STE 102
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-8773
Country	:	US
Telephone Number	:	407-282-7222
Fax Number	:	407-366-0025

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

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	05/28/2026

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