Provider Demographics
NPI:1306488820
Name:ALBERTO RIVERA-SANCHEZ PA
Entity type:Organization
Organization Name:ALBERTO RIVERA-SANCHEZ PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-664-3509
Mailing Address - Street 1:201 W CANTON AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3148
Mailing Address - Country:US
Mailing Address - Phone:407-664-3509
Mailing Address - Fax:407-326-8246
Practice Address - Street 1:201 W CANTON AVE STE 275
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3148
Practice Address - Country:US
Practice Address - Phone:407-664-3509
Practice Address - Fax:407-326-8246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty