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Individual

MARIA ELEONOR MAGNO RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-3582
(571) 665-6492
Mailing address
4301 DOMINION FOREST CIR APT 1117, GLEN ALLEN, VA 23060-3364
(843) 758-9684

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101282290
VA
207R00000X
Internal Medicine Physician
83951
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/20/2017
Last updated
06/30/2025
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