MEDICARE: DR. VANESSA ESTHER ALVARADO GONZALEZ 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	208D00000X	General Practice Physician	17505	PR

General Provider Information

NPI Number	:	1285874057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANESSA ESTHER ALVARADO GONZALEZ MD

Provider Business Mailing Address
First Line	:	69 CALLE HOCONUCO
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-4317
Country	:	US
Telephone Number	:	939-716-0211
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 CALLE BAUHINIA
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-3410
Country	:	US
Telephone Number	:	939-716-0211
Fax Number	:

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

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	03/20/2026

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