Rear Adm. Christina Alvarado was the first nurse to command Naval Reserve (NR) Expeditionary Medical Facility (EMF) Dallas 1, a commissioned unit whose mission is expeditionary medicine. She led the transformation of the unit and stood up the first Reserve EMF in 2011.
She has worked in the clinical areas of orthopedics, neurosurgery and intensive care. Alvarado became certified in critical care nursing in 1983, and held civilian professional nurse positions at United Hospital, Portchester, New York, Alexandria Hospital and Columbia-Presbyterian Medical Center.
Alvarado began her Navy Reserve career as a direct commissioned officer. She was called to active duty from 1990 to 1991 in support of Operations Desert Shield and Desert Storm and served in the Neurosurgical Intensive Care Unit at the National Naval Medical Center, Bethesda, Maryland. In January 2002, she was again called to active duty in support of Operations Noble Eagle and Enduring Freedom. She has held a variety of leadership positions including officer in charge, executive officer, administrative officer and training officer. She served as the executive officer, Operational Health Support Unit Jacksonville, Florida, from 2008 to 2010, and commanding officer of EMF Dallas 1 from 2010 to 2012.