Provider Demographics
NPI:1760422380
Name:ABREU-RIVERA, ALBERTO (MD FAMILY PHYSICIA)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:ABREU-RIVERA
Suffix:
Gender:M
Credentials:MD FAMILY PHYSICIA
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 142833
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2833
Mailing Address - Country:US
Mailing Address - Phone:787-816-8496
Mailing Address - Fax:787-816-8346
Practice Address - Street 1:ANA LENS DE SUSONI #59 STREET
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614
Practice Address - Country:US
Practice Address - Phone:787-816-8496
Practice Address - Fax:787-816-8346
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13486174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist