Provider Demographics
NPI:1427636901
Name:ALVARADO-VALADEZ, JAQUELINE (MD)
Entity type:Individual
Prefix:
First Name:JAQUELINE
Middle Name:
Last Name:ALVARADO-VALADEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JAQUELINE
Other - Middle Name:
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7221 NEWPORT AVE APT 409
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3922
Mailing Address - Country:US
Mailing Address - Phone:936-591-6992
Mailing Address - Fax:
Practice Address - Street 1:281 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2925
Practice Address - Country:US
Practice Address - Phone:212-420-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program