MEDICARE: DR. GERARDO ALVARADO 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	15299	PR
2	208D00000X	General Practice Physician	ACN1251	FL

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	:	1598815763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARDO ALVARADO MD

Provider Business Mailing Address
First Line	:	12171 SW 268TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-8001
Country	:	US
Telephone Number	:	305-278-0200
Fax Number	:	305-851-4110

Provider Business Practice Location Address
First Line	:	818 S DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-5042
Country	:	US
Telephone Number	:	561-296-4400
Fax Number	:	561-909-2075

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	10/12/2020

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