Provider Demographics
NPI:1346226792
Name:FRIAS, ALBERTO ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:ENRIQUE
Last Name:FRIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7709
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7709
Mailing Address - Country:US
Mailing Address - Phone:787-644-6120
Mailing Address - Fax:787-286-5556
Practice Address - Street 1:AVENIDA LUIS MUOZ MARIN, # 80
Practice Address - Street 2:HOSPITAL HIMA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-745-0000
Practice Address - Fax:787-745-1314
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6557174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1-02904Medicare UPIN