Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0700X | Prosthodontist | 6814 | LA |
Y | 1223P0700X | Prosthodontist | DE60977679 | WA |
NPI | 1235484361 |
---|---|
Provider Name | Dr. Luis Miguel Alvarado Amado |
First Address | Seattle, WA 98101-1772 |
Second Address | Seattle, WA 98101-1772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2012 |
Last Update Date | 28/03/2020 |