Healthcare Provider Details

I. General information

NPI: 1629421763
Provider Name (Legal Business Name): ALIVIO NATURAL PUERTO RICO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 CALLE SANTA CRUZ
BAYAMON PR
00961-6906
US

IV. Provider business mailing address

2878 CALLE EL MONTE
PONCE PR
00716-4819
US

V. Phone/Fax

Practice location:
  • Phone: 787-709-0574
  • Fax: 787-290-1919
Mailing address:
  • Phone: 787-709-0574
  • Fax: 787-290-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERTO RIVERA SANCHEZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-709-0574