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NPI Code Detail

MEDICARE: DR. MAYDA ALVARADO DO

MEDICARE:  DR. MAYDA  ALVARADO  DO
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
1152W00000XOptometrist401PR

General Provider Information

NPI Number : 1972840866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAYDA ALVARADO DO
Provider Business Mailing Address
First Line : 55 CALLE JOSE DE DIEGO
Second Line :
City : CIDRA
State : PR
Zip : 00739-3241
Country : US
Telephone Number : 787-714-4550
Fax Number : 787-714-4550
Provider Business Practice Location Address
First Line : 8 CALLE COLON PACHECO
Second Line :
City : SALINAS
State : PR
Zip : 00751-3344
Country : US
Telephone Number : 787-714-4550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2013
Last Update Date : 01/11/2013

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Directions to “ DR. MAYDA ALVARADO DO” Practice Location

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