Provider Demographics
NPI:1487077822
Name:DRA. IRMA ALVARADO TORRES, P.S.C.
Entity type:Organization
Organization Name:DRA. IRMA ALVARADO TORRES, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-614-6021
Mailing Address - Street 1:PO BOX 389
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-0389
Mailing Address - Country:US
Mailing Address - Phone:787-862-1717
Mailing Address - Fax:787-862-4919
Practice Address - Street 1:24 CALLE PRINCIPAL
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3014
Practice Address - Country:US
Practice Address - Phone:787-862-1717
Practice Address - Fax:787-862-4919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9782207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2-9782OtherMEDICAL CARD SYSTEM
PR68700008OtherHUMANA HEALTH PLAN
PR87966Medicaid
PR2829OtherAMERICAN HEALTH MEDICARE
PR4329OtherPREFERRED MEDICARE CHOICE
PR87966OtherTRIPLE S MEDICARE OPTIMO
PR8896OtherINTERNATIONAL MEDICAL CARD
PR87966OtherTRIPLE S MEDICARE SELECTO
PR602970OtherMEDICARE MUCHO MAS
PRG-41721Medicare UPIN
PR87966Medicaid