Provider Demographics
NPI:1427096569
Name:ALVARADO, ISRAEL J (MD)
Entity type:Individual
Prefix:
First Name:ISRAEL
Middle Name:J
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 MCDANIEL ST STE 250
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-6309
Mailing Address - Country:US
Mailing Address - Phone:702-649-9070
Mailing Address - Fax:702-649-9080
Practice Address - Street 1:2031 MCDANIEL ST STE 250
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-6309
Practice Address - Country:US
Practice Address - Phone:702-649-9070
Practice Address - Fax:702-649-9080
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11299207SG0201X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
I01069Medicare UPIN
NV100287Medicare ID - Type Unspecified
NV100505330Medicaid