MR. ALEX ALFREDO DURANALVARADO SR.


Address: 300 Centerton Rd, Moorestown, NJ 08057-3825
Phone: 8567226170

MR. ALEX ALFREDO DURANALVARADO SR. (NPI# 1831302074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831302074
Entity Type Individual
Full Name MR. ALEX ALFREDO DURANALVARADO SR.
Credential IDC
Practice Address 300 Centerton Rd
Moorestown
NJ 08057-3825
Mailing Address 1045 Turnerville Rd
Pine Hill
NJ 08021-6553
Practice Telephone 8567226170
Mailing Telephone 8567226170
Enumeration Date 2007-05-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 300 CENTERTON RD
City MOORESTOWN
State NJ
Zip Code 08057-3825

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043598246 Christopher Allen Yesukevich Military Health Care Provider 82a Woodland Rd, Apt 4, Short Hills, NJ 07078-2400 2011-07-22
1033377411 Joseph Stanley Sprafka Jr. Military Health Care Provider Bldg 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 2008-06-02
1962690982 Gary Stephen Mihalko Jr. Military Health Care Provider 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 2007-10-04
1467532614 Juan J Perez Iv Military Health Care Provider 1 Munro Ave, Cape May, NJ 08204-5000 2006-10-16

Competitor

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City MOORESTOWN
Zip Code 08057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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