MEDICARE: DR. JEFFREY ALVARADO DDS

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	1223G0001X	General Practice Dentistry	20193	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285675470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ALVARADO DDS

Provider Business Mailing Address
First Line	:	3103 CENTER POINT DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8433
Country	:	US
Telephone Number	:	956-688-0000
Fax Number	:	956-661-9814

Provider Business Practice Location Address
First Line	:	3103 CENTER POINT DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8433
Country	:	US
Telephone Number	:	956-688-6000
Fax Number	:	956-661-9814

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/19/2022

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