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NPI Code Detail

MEDICARE: DR. SERGIO ANTONIO ALVARADO M.D.

MEDICARE:  DR. SERGIO ANTONIO 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
1207QS0010XSports Medicine (Family Medicine) PhysicianP7738TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2331587YMUWOTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841424181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SERGIO ANTONIO ALVARADO M.D.
Provider Business Mailing Address
First Line : 1729 WESTON BRENT LN STE A
Second Line :
City : EL PASO
State : TX
Zip : 79935-3013
Country : US
Telephone Number : 915-256-9751
Fax Number : 915-974-2344
Provider Business Practice Location Address
First Line : 2267 TRAWOOD DR STE G2
Second Line :
City : EL PASO
State : TX
Zip : 79935-3027
Country : US
Telephone Number : 915-256-9751
Fax Number : 915-974-2344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2009
Last Update Date : 09/22/2021

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Directions to “ DR. SERGIO ANTONIO ALVARADO M.D.” Practice Location

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