Provider Demographics
NPI:1558626010
Name:NORIEGA ALDAVE, ADRIAN PEDRO (MD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:PEDRO
Last Name:NORIEGA ALDAVE
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 1:1440 NARROW LANE PKWY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2665
Mailing Address - Country:US
Mailing Address - Phone:334-281-4140
Mailing Address - Fax:334-281-4198
Practice Address - Street 1:1440 NARROW LANE PKWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111
Practice Address - Country:US
Practice Address - Phone:334-281-4140
Practice Address - Fax:334-281-4198
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALMD.36670207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program