Healthcare Provider Details

I. General information

NPI: 1033840798
Provider Name (Legal Business Name): PEDRO ALBERTO ALBELO RIVERA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE HERNANDEZ CARRION
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 1604
CIALES PR
00638-1604
US

V. Phone/Fax

Practice location:
  • Phone: 621-370-0787
  • Fax:
Mailing address:
  • Phone: 787-237-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23568
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: