MEDICARE: JOSUE ALVARADO RN

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	163W00000X	Registered Nurse	731463	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85-1551922	OTHER	TX	NONE

General Provider Information

NPI Number	:	1447826029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSUE ALVARADO RN

Provider Business Mailing Address
First Line	:	PO BOX 532021
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78553-2021
Country	:	US
Telephone Number	:	956-970-8424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 US 77 BUSINESS SUITE C
Second Line	:
City	:	SAN BENITO
State	:	TX
Zip	:	78586-7858
Country	:	US
Telephone Number	:	956-970-8424
Fax Number	:

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

Provider Enumeration Date	:	06/03/2021
Last Update Date	:	06/03/2021

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