Manuel Alvarado MD PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME59124 Issued in FL

Legal business name

MANUEL ALVARADO MD PA

Practice address

1414 E Main St
Leesburg, FL 34748-5399

Phone

(352) 250-3472

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Ivette Alvarado

Title

Admin

Phone

(352) 250-3478

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Alvarado, M.D.

  • Obstetrics & Gynecology Physician
  • Leesburg, FL
  • NPI 1841261021
  Medicare reassignment NPD

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1275049272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485399",
            "telephone_number": "352-250-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL ALVARADO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "352-250-3478"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME59124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneesh Achankunju Mampachail, PT DPT CLT CKTP
• Samantha Alyse Mancino, PT,DPT
• Arlinda Mango
• Janessa Mangulabnan, PT
• Michael Francis Manson, M.S.S.W.
• Terrence Manuel, LCSW
• Marathon Health LLC
• Bozena Teresa Marcinczyk, PH.D.,LMFT
• Maria M Mena MD
• Christina Mariathasan, PTA

• Gynecology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.