Provider Demographics
NPI:1780036889
Name:RIVERA TORRES, ALBERTO A (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:A
Last Name:RIVERA TORRES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1661 E CAMELBACK ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3913
Mailing Address - Country:US
Mailing Address - Phone:602-422-9000
Mailing Address - Fax:602-556-5951
Practice Address - Street 1:22711 S ELLSWORTH ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-6789
Practice Address - Country:US
Practice Address - Phone:480-782-0993
Practice Address - Fax:833-337-0386
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2024-08-21
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Provider Licenses
StateLicense IDTaxonomies
AZ59535207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ080522Medicaid