Provider Demographics
NPI:1831400035
Name:ALVINO, ADOLFO (MD)
Entity type:Individual
Prefix:
First Name:ADOLFO
Middle Name:
Last Name:ALVINO
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 1:1580 PELHAM PKWY S
Mailing Address - Street 2:3-O
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1112
Mailing Address - Country:US
Mailing Address - Phone:917-225-0121
Mailing Address - Fax:
Practice Address - Street 1:1613 HARRISON PKWY
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2896
Practice Address - Country:US
Practice Address - Phone:954-838-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107489207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine