DR. Luis Alberto Alvarado Thiele, PA

NPI #1790346252 in Santa Isabel, Puerto Rico

Provider Information

NPI Number: 1790346252
Entity Type: Individual
Name: DR. Luis Alberto Alvarado Thiele, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 25, 2019
Last Updated: Jun 25, 2019

Practice Location

Address: 19 CALLE BALDORIOTY DE CASTRO
City: Santa Isabel
State: Puerto Rico
ZIP Code: 00757-2613
Phone: (787) 590-9566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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