Healthcare Provider Details

I. General information

NPI: 1588076558
Provider Name (Legal Business Name): ALICIA ALTERIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 CHALKSTONE AVE
PROVIDENCE RI
02908-4735
US

IV. Provider business mailing address

2 DUDLEY ST STE 370
PROVIDENCE RI
02905-3248
US

V. Phone/Fax

Practice location:
  • Phone: 401-456-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax: 508-941-0895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD16640
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberETL6070
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: