Individual provider Active NPI

Jose R. Alvarado, D.M.D.

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1285798900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0689 Issued in PR
Practice address
Be11 Calle 101
Jardines Country Club
Carolina, PR 00983-2009
Phone
(787) 752-4070
Fax
(787) 752-7890
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 0689 PR Primary

Addresses

Primary practice location

Be11 Calle 101
Jardines Country Club
Carolina, PR 00983-2009

Mailing address

Be11 Calle 101
Jardines Country Club
Carolina, PR 00983-2009
Phone (787) 752-4070

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
I20160219001050 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608171236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0689PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285798900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BE11 CALLE 101",
            "address_2": "JARDINES COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832009",
            "telephone_number": "787-752-4070",
            "fax_number": "787-752-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BE11 CALLE 101",
            "address_2": "JARDINES COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832009",
            "telephone_number": "787-752-4070",
            "fax_number": "787-752-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "JOSE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "0689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.