Individual
ALVARO IBASETA FIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CRESCENT DR STE 401, PHILADELPHIA, PA 19112-1015
(800) 321-9999
Mailing address
1 CRESCENT DR STE 401, PHILADELPHIA, PA 19112-1015
(800) 321-9999
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD494857
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
01/03/2018
Last updated
04/12/2026
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