Angelis Alvarado, MD
Individual provider Active NPI General Practice Physician · Coto Laurel, PR
NPI 1487378253 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1487378253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 023016 (PR)
- Practice address
- 2201 Carr 14 Apt 11302
Coto Laurel, PR 00780-2318 - Phone
- (787) 240-5516
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Med Centro Inc
Practice addresses (Care Compare)
1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250102003478 | PR | Practitioner - General Practice | 1557722279 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023016 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Centro, Inc. | Current |
Accepting new patients | |
| Med Centro, Inc. | General Practice | Current | Accepting new patients |
| Med Centro, Inc. | General Practice | Current |
Accepting new patients |
| Southeastern in Hospital Medical Services LLC | Past |
Accepting new patients | |
| Hospital Menonita Guayama Inc | Past |
Accepting new patients |
Locations
1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 023016 | PR | Yes |
Addresses
Primary practice location
2201 Carr 14 Apt 11302
Coto Laurel, PR 00780-2318
Mailing address
2201 Carr 14 Apt 11302
Coto Laurel, PR 00780-2318
Phone (787) 240-5516
Other providers in Coto Laurel, PR
- Jesmary Albert
- Angel L Alicea Ortiz
- Giovanni Alomar Sastre
- Edzaida Raquel Alvarado Santana
- Adrian Alexis Alvarez de la Campa
- Flor Del R Andreu Alicea
- Anesthesia Providers Group, P.S.C.
- Antonio Vazquez
- Maricelis Arocho
All providers in Coto Laurel, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.