Provider Demographics
NPI:1144228594
Name:COLON-ALVARADO, ALBERTO MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:MANUEL
Last Name:COLON-ALVARADO
Suffix:
Gender:M
Credentials:MD
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 37
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-0037
Mailing Address - Country:US
Mailing Address - Phone:787-829-1626
Mailing Address - Fax:787-829-1665
Practice Address - Street 1:CARR. 5516 KM 0.1
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601
Practice Address - Country:US
Practice Address - Phone:787-829-1626
Practice Address - Fax:787-829-1665
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR120102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH69150Medicare UPIN
PR20765Medicare ID - Type Unspecified