Provider Demographics
NPI:1962484618
Name:CANDELARIO PIEVE, ALBERTO L (MD)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:L
Last Name:CANDELARIO PIEVE
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 2217
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2217
Mailing Address - Country:US
Mailing Address - Phone:787-866-5333
Mailing Address - Fax:787-866-3862
Practice Address - Street 1:LA FUENTE TOWN CTR
Practice Address - Street 2:SUITE 11 124
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-6045
Practice Address - Country:US
Practice Address - Phone:787-866-5333
Practice Address - Fax:787-866-3862
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9574207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR81586Medicare ID - Type Unspecified
PRE66638Medicare UPIN