| Doctor Name: | FABIAN ALVARADO |
| NPI Number: | 1578891859 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | NP19343 |
| Business Practice Address: | 29 Bishop St Ste A Royal Oaks, CA - 950765266 |
| Business Phone Number: | 8317282505 |
| Business Fax Number: | 8317282636 |
| Mailing Address: | 1430 Freedom Blvd, WATSONVILLE |
| State: | CA |
| Postal Code: | 950762780 |
| Phone Number: | 8317282505 |
| Fax Number: | 8317282636 |
| NPI Enumeration Date: | 11/25/2009 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP19343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |