Individual
DR. LUIS RAFAEL ALVARADO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1931 S NARCOOSSEE RD, SAINT CLOUD, FL 34771-7211
(407) 986-9642
(833) 450-5421
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(407) 986-9642
(689) 304-0303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12274
PR
207Q00000X
Family Medicine Physician
ACN794
FL
208D00000X
General Practice Physician
Primary
ACN794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN794
MEDICAL LICENSE
FL
01
—
IR541Z
MEDICARE PTAN
FL
Enumeration date
02/06/2006
Last updated
01/08/2026
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