Provider Demographics
NPI:1447826029
Name:ALVARADO, JOSUE (RN)
Entity type:Individual
Prefix:
First Name:JOSUE
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532021
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-2021
Mailing Address - Country:US
Mailing Address - Phone:956-970-8424
Mailing Address - Fax:
Practice Address - Street 1:2402 US 77 BUSINESS SUITE C
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-7858
Practice Address - Country:US
Practice Address - Phone:956-970-8424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX731463163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85-1551922OtherNONE