Active NPI
Juana Alvarado
- Phlebology Physician
- Largo, MD
National Provider Identifier
1740971928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 20-0033Y23
- Practice address
- 1400 Mercantile LN Ste 202
Largo, MD 20774-5350 - Phone
- (301) 909-4606
- Fax
- (301) 909-4606
- NPI assigned
- May 17, 2023
- Last updated
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 20-0033Y23 | MD | Primary |
Addresses
Primary practice location
1400 Mercantile LN Ste 202
Largo, MD 20774-5350
Mailing address
1400 Mercantile LN Ste 202
Largo, MD 20774-5350
Phone (301) 909-4606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-0033Y23 | MD | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1740971928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN STE 202",
"city": "LARGO",
"state": "MD",
"postal_code": "207745350",
"telephone_number": "301-909-4606",
"fax_number": "301-909-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN STE 202",
"city": "LARGO",
"state": "MD",
"postal_code": "207745350",
"telephone_number": "301-909-4606",
"fax_number": "301-909-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "JUANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "MD",
"license": "20-0033Y23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
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- Alphonzo L. Davidson Sr,D.D.S.,PA
- Elma B Alston, LCSW-C
- Sheena T Alston, NP
- Amachi Foundation LLC
- Ambitious Single Mothers, Inc
- Olivia Cynthia Ambursley-Gries
- Amedisys Home Health of Maryland, LLC (Amedisys Home Health Care)
- Amedisys Hospice, LLC (Amedisys Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.