Altavilla cleared waivers Saturday and was sent outright to Triple-A Omaha.
The Royals activated Altavilla (oblique) from the 60-day injured list Thursday and designated him for assignment.
The Royals announced that Altivilla (oblique) will begin a minor-league rehab assignment with Triple-A Omaha on Tuesday.
Altavilla (oblique) was transferred to the 60-day IL on Friday.
The Royals placed Altavilla on the 15-day injured list Thursday with a right oblique strain, Anne Rogers of MLB.com reports.
Altavilla (0-1) allowed five runs on three hits and two walks while striking out one over one-third of an inning, taking the loss Wednesday versus the Yankees.
The Royals selected Altavilla's contract from Triple-A Omaha on Monday, Anne Rogers of MLB.com reports.
Altavilla signed a minor-league contract with the Royals on Wednesday, Jon Heyman of the New York Post reports.
The Red Sox released Altavilla on Tuesday, Chris Cotillo of The Springfield Republican reports.
Altavilla was re-assigned to minor league camp Sunday.