Healthcare Provider Details

I. General information

NPI: 1609803832
Provider Name (Legal Business Name): ALBERTO RIVERA SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 02/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 S SEMORAN BLVD
ORLANDO FL
32807-1458
US

IV. Provider business mailing address

5365 W ATLANTIC AVE STE 504
DELRAY BEACH FL
33484-8194
US

V. Phone/Fax

Practice location:
  • Phone: 407-622-7246
  • Fax: 407-599-7246
Mailing address:
  • Phone: 561-241-9300
  • Fax: 561-241-9339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME125319
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME125319
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME125319
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: