Provider Demographics
NPI:1154945020
Name:NAVAS, ALBERTO J (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:J
Last Name:NAVAS
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:E13 CALLE PARKSIDE 1 APT 8A
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3324
Mailing Address - Country:US
Mailing Address - Phone:787-415-6678
Mailing Address - Fax:
Practice Address - Street 1:200 CALLE CUPEY GDNS STE 11W
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7366
Practice Address - Country:US
Practice Address - Phone:787-760-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22513208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice