Provider Demographics
NPI:1598845398
Name:AREVALO ROIG, ALBERTO E (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:E
Last Name:AREVALO ROIG
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:ANTONIO R. BARCELO 163 STREET
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-816-5783
Mailing Address - Fax:787-816-5783
Practice Address - Street 1:163 ANTONIO R. BARCELO
Practice Address - Street 2:SUITE 104
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-816-5783
Practice Address - Fax:787-816-5783
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2016-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13361207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH10931Medicare UPIN