Luis Alberto Alvarado Thiele, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25122 Issued in PR

Practice address

19 Calle Baldorioty de Castro
Santa Isabel, PR 00757-2613

Phone

(787) 590-9566

NPI assigned

Jun 25, 2019

Reactivated

Jul 30, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1790346252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 32126",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959205",
            "telephone_number": "787-590-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE BALDORIOTY DE CASTRO",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572613",
            "telephone_number": "787-590-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO THIELE",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "deactivation_date": "2026-07-13",
        "reactivation_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "25122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Agosto, MD
• Angel Luis Aguirre Jr., BSN
• Alba I. Rivera Torres
• Aliansa de Salud Primaria Inc.
• Genesis A Alomar Rivera
• Norma Ivelisse Alvarado-Rivera, RN
• Natalia Aponte Quinones, DC
• Aq Clinica del Sur LLC
• Lilliani Arroyo Lopez, O.D.
• Ayudando a la Sagrada Familia Inc

• General Practice Physician in Santa Isabel, PR
• Providers in Santa Isabel, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.