Provider Demographics
NPI:1720282726
Name:RIVERA ROSADO, ALBERTO RAMON (MD)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:RAMON
Last Name:RIVERA ROSADO
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:CALLE JUAN C BORBON
Mailing Address - Street 2:SUITE 67-395
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-998-1640
Mailing Address - Fax:
Practice Address - Street 1:279 CALLE CONVENTO
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912-3205
Practice Address - Country:US
Practice Address - Phone:787-998-1640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15637207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery