Individual
DR. ROBERT PITERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4313
(505) 301-5135
(505) 217-3950
Mailing address
PO BOX 90726, ALBUQUERQUE, NM 87199-0726
(505) 301-5135
(505) 217-3950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18876701
NY
208100000X
Physical Medicine & Rehabilitation Physician
MD2012-0785
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18876701
NYS LICENSE
NY
Enumeration date
03/16/2007
Last updated
03/07/2023
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