Provider Demographics
NPI:1689557886
Name:ALVARADO, ANGEL ANTONIO
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:ANTONIO
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB MASIONES EN PASEO DE REYES
Mailing Address - Street 2:CALLE REY LUIS B9
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-928-7474
Mailing Address - Fax:939-731-3448
Practice Address - Street 1:CARR 149 KM 68.4
Practice Address - Street 2:BO AMUELAS
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-0079
Practice Address - Country:US
Practice Address - Phone:787-928-7474
Practice Address - Fax:939-731-3448
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PRF-705873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist