Individual provider Active NPI

Luis A Alvarado, DPM

  • Podiatrist
  • Juana Diaz, PR
National Provider Identifier
1144275488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000054 Issued in PR
Practice address
Edificio Borinquen#17 Apt 1
Juana Diaz, PR 00795
Phone
(787) 260-3361
Fax
(787) 260-3361
NPI assigned
May 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000054 PR Primary

Addresses

Primary practice location

Edificio Borinquen#17 Apt 1
Juana Diaz, PR 00795

Mailing address

PO Box 4956 336
Caguas, PR 00726
Phone (787) 260-3361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140521002427 PR Practitioner - Podiatry 4486877362 Practice locations: Juana Diaz, PR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 Edif Borinquen
Suite 1
Juana Diaz, PR 00795
Phone (787) 260-3361

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions1-10
Removal of nail tissue1892
Removal or shaving of skin growth16
Skin biopsy247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54PRMDNaturopath

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144275488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4956 336",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-260-3361",
            "fax_number": "787-260-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO BORINQUEN#17 APT 1",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-260-3361",
            "fax_number": "787-260-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PR",
            "license": "000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.