# CRISTOBAL G ALVARADO MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699031518
- **Authorized official:** CRISTOBAL G ALVARADO MD (OWNER)
- **Authorized official phone:** (207) 621-2428

## Contact information

- **Practice address:** 6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
- **Practice address phone:** (207) 621-2428
- **Mailing address:** PO BOX 1849, LEWISTON, ME 04241-1849
- **Mailing address phone:** (207) 784-2554
- **Mailing address fax:** (207) 777-5363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2012
- **Last updated:** 04/11/2012