Provider Demographics
NPI:1265094916
Name:ALVARADO, MARTIN MANUEL (FNP)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:MANUEL
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:FNP
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Mailing Address - Street 1:3900 EUBANK BLVD NE STE 12
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3427
Mailing Address - Country:US
Mailing Address - Phone:505-884-3344
Mailing Address - Fax:866-790-2292
Practice Address - Street 1:1634 ALAMEDA BLVD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-8807
Practice Address - Country:US
Practice Address - Phone:505-884-3344
Practice Address - Fax:866-790-2292
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM56790363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily