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NPI Code Detail

MEDICARE: DR. CARLA IVONNE ALVARADO M.D.

MEDICARE: DR. CARLA IVONNE 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
12084P0804XChild & Adolescent Psychiatry PhysicianR1337TX

General Provider Information

NPI Number : 1356638621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLA IVONNE ALVARADO M.D.
Provider Business Mailing Address
First Line : 2101 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3346
Country : US
Telephone Number : 915-577-7888
Fax Number :
Provider Business Practice Location Address
First Line : 8500 BOEING DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-1224
Country : US
Telephone Number : 915-242-0555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2011
Last Update Date : 07/27/2022

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