Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 11299 | NV |
Y | 111NI0900X | Internist | 11299 | NV |
N | 207SG0201X | Clinical Genetics (M.D.) | 11299 | NV |
NPI | 1427096569 |
---|---|
Provider Name | Israel J Alvarado |
First Address | North Las Vegas, NV 89030-6309 |
Second Address | North Las Vegas, NV 89030-6309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 09/08/2021 |