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NPI Code Detail

MEDICARE: ISRAEL J ALVARADO MD PC

MEDICARE: ISRAEL J ALVARADO MD PC
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
1207SG0201XClinical Genetics (M.D.) Physician
2363AM0700XMedical Physician Assistant
3363L00000XNurse Practitioner
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1538535133
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISRAEL J ALVARADO MD PC
Provider Business Mailing Address
First Line : 1930 VILLAGE CENTER CIR
Second Line : #3-286
City : LAS VEGAS
State : NV
Zip : 89134-6299
Country : US
Telephone Number : 702-809-5483
Fax Number :
Provider Business Practice Location Address
First Line : 1930 VILLAGE CENTER CIR # 3-286
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-6299
Country : US
Telephone Number : 702-809-5483
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ISRAEL J ALVARADO
Credential : MD
Telephone Number : 702-809-5483
Provider Enumeration Date : 08/18/2015
Last Update Date : 08/09/2021

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