Provider Demographics
NPI:1376736710
Name:VIERAS ALEJANDRO, FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:VIERAS ALEJANDRO
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 1:2080 CARR 8177
Mailing Address - Street 2:TORRE DEL LOS FRAILES SUITE 8K
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3744
Mailing Address - Country:US
Mailing Address - Phone:787-720-9558
Mailing Address - Fax:787-720-9558
Practice Address - Street 1:2080 CARR 8177
Practice Address - Street 2:TORRE DEL LOS FRAILES SUITE 8K
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3744
Practice Address - Country:US
Practice Address - Phone:787-720-9558
Practice Address - Fax:787-720-9558
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5913207U00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0087953OtherMEDICARE
PR87953OtherTRIPLE S INC
PR87953OtherTRIPLE S INC