Provider Demographics
NPI:1699747287
Name:ALVARADO, MIGDALIA E (DMD)
Entity type:Individual
Prefix:
First Name:MIGDALIA
Middle Name:E
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MIGDALIA
Other - Middle Name:E
Other - Last Name:ALVARADO BURGOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:PO BOX 362381
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2381
Mailing Address - Country:US
Mailing Address - Phone:939-437-1638
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL SAN FRANCISCO, TORRE MEDICA SUITE 402
Practice Address - Street 2:369 DE DIEGO ST
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-364-6667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1847122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist