MEDICARE: MRS. LIZBETH 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
1	207R00000X	Internal Medicine Physician	15361	PR

General Provider Information

NPI Number	:	1720059017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LIZBETH ALVARADO M.D.

Provider Business Mailing Address
First Line	:	LAS ALONDRAS 1 F21
Second Line	:
City	:	VILLALBA
State	:	PR
Zip	:	00766-0000
Country	:	US
Telephone Number	:	787-430-3201
Fax Number	:	787-813-5738

Provider Business Practice Location Address
First Line	:	SANTA MARIA SHOPPING CENTER 2 DO PISO
Second Line	:	OFICINA 225
City	:	PONCE
State	:	PR
Zip	:	00733
Country	:	US
Telephone Number	:	787-813-3021
Fax Number	:	787-840-8874

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	07/08/2007

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